I release and waive, and further agree to indemnify, hold harmless MYCincinnati, Price Hill Will, the individual members, agents, employees and representatives thereof; from and against, any which I, any other parent or guardian, any sibling, the student or any other person may have claim to have, known or unknown, directly or indirectly, for any losses, damages or injuries arising out of, during, or in connection with the student’s participation in the program and related activities or the rendering of emergency medical treatment, if any. 

In the event of an injury, accident, illness or other emergency, I hereby authorize my child to be treated by emergency personnel as required at the time for health and safety. I agree to accept financial responsibility for the costs related to this medical treatment. All efforts will be made to contact a parent or guardian at the phone number(s) provided before any action is taken.