• Pick-up and return time: 2:30-6:00 PM

AACI YTI WAIVER OF LIABILITY AND MEDIA/ ARTWORK RELEASE FORM

Youth Technology Incubator staff are mandated reporters and are required by the state of California to report anything that we deem reportable.

I (if under 18, “Parent/Guardian Name”) authorize ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT (“AACI”), a California non-profit corporation, to use my or my minor child/children’s name, image, likeness, voice and/or words in print, photograph, video, computer-generated presentation, and/or other electronic form or media for AACI non-profit uses, including but not limited to advertising, grants and other non-profit fundraising needs (“materials”).

In consideration of good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I hereby release and hold harmless AACI, and its directors, officers, administrators, employees, agents, representatives, insurance companies, and producers from any and all liability, known or unknown, in connection with the production, distribution, marketing and any and all other uses of the materials. In connection therewith, I hereby waive any and all of my rights under California Civil Code, section 1542, which protects against release of unknown claims.1

Furthermore, I hereby cede any and all of my rights, title, and interest, including those known or unknown, in the materials to AACI. I further hereby waive any and all claims for compensation that I have or may have for the materials.

I give permission for AACI’s Youth Technology Incubator program and its staff to support and transport me or my child(ren) from the start of the program, July 1, 2021 to June 30, 2022.

I agree to waive all liability and all claims against AACI, Youth Technology Incubator program and its staff.

I certify that I am eighteen (18) years of age or older and that I have read, fully understood, and do hereby agree to be bound by this Agreement. IN WITNESS WHEREOF, this Agreement is executed on the date indicated below. 

“A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor.”
California Civil Code, section 1542.


Artwork/ Project Release Form

I (if under 18 "Parent/ Guardian name") hereby consent and release to AACI Youth Technology Incubator to use my or my child(ren)'s artwork, media, projects produced during their workshops and events. I understand that AACI YTI can use my or my child(ren)'s work for marketing purposes such as website features, social media posts, email campaign features, print features, etc. I understand I will not be compensated for the use of my or my child(ren)'s creations, but can ask them to credit my (or my child's) work if wanted to by emailing them at [email protected] for project, work, artwork credit requests.

AACI YTI WAIVER OF LIABILITY AND MEDIA/ ARTWORK RELEASE FORM



Almost done. Where should we send the confirmation?

RegFox Event Registration Software