I hereby release Northumberland Youth Unlimited from responsibility and liability for any harm that may occur to the youth in my care noted above, as a result of their wilful participation in the program/activity described above. I understand that reasonable precautions for the health and safety of participants will be taken. Furthermore, I give permission for the person(s) in charge to seek medical assistance for the youth in my care noted above, in the event of accident or injury, and acknowledge that I must assume total responsibility for any and all medical assistance related costs. Every attempt will be made to contact parents or guardians before such action.

I understand that Northumberland Youth Unlimited is a faith-based charitable organization that is operated by Christian values. I understand that Northumberland Youth Unlimited is inclusive to all program participants regardless of their personal religious belief, race, sexuality, gender, or socio-economic status. I understand that the staff and volunteers of Northumberland Youth Unlimited, with the utmost dignity and respect, may engage in conversations and/or lessons regarding topics of faith with the youth in my care noted above, during the course of their participation with Northumberland Youth Unlimited.

I understand that the program/activity described above is a program of Northumberland Youth Unlimited and all consents on this page also apply to this program/activity. I have read, understood and hereby give permission for the youth in my care noted above, to attend and participate fully in the program/activity described above by Northumberland Youth Unlimited and agree to these waivers and conditions.