The National Conservative Student Conference

August 2 to 7, 2021



  • I,
  • seeks to participate in a Young America’s Foundation’s 2021 program, agree to the following waiver of liability.
  • A. Consideration. In consideration for allowing my participation in this Program, the receipt and sufficiency of which consideration is acknowledged, I agree to release and forever discharge YAF, its officers, employees, and assigns from all manner of actions, legal causes of action, claims and demands for or by reason of any damage, loss, or injury to person and property which has been or may be sustained as a result of my participation in this Program.

    B. Liability Release. I am fully aware that there are a number of risks related to attending this Program ranging from normal risks associated with any stay away from home, such as physical injury from a slip and fall or accident, food poisoning or allergic reactions, loss or damage to personal property, fires, disasters, terrorism or other incidents of violence, to contraction of illness such as the flu, COVID-19, or legionnaire’s disease, which could result in a serious medical condition requiring medical treatment in a hospital or could possibly lead to death. I knowingly and freely assume all such risks, both known and unknown, relating to my participation in this Program and I hereby forever release, waive, relinquish, and discharge YAF, its officers, employees, and assigns from any and all claims, demands, liabilities, rights, damages, expenses, and causes of action of whatever kind or nature, and other losses of any kind, whether known or unknown, foreseen or unforeseen, and I further promise not to sue YAF for any personal injury, disability, property damage or theft, or death which may result from my participation in this Conference.

    C. Assumption of Risk. I assume all risks and hazards incidental to participation in the above mentioned function, including transportation to and from such activities, and do hereby release and waive all claims against Young America’s Foundation, its directors, officers, staff, employees, volunteers, representatives, agents, and speakers whether they be foreseen or unforeseen at the time this waiver is signed.

    I UNDERSTAND THAT IT IS MY SOLE RESPONSIBILITY TO AVOID FOODS THAT I AM OR MAY BE ALLERGIC TO AND TO TAKE ALL NECESSARY PRECAUTIONS RELATING TO POTENTIAL ALLERGIES, INCLUDING HAVING ANY MEDICATION SUCH AS AN EPINEPHRINE PEN (“EPIPEN”) ON MY PERSON AT ALL TIMES AND NOTIFYING YOUNG AMERICA’S FOUNDATION STAFF OF CONCERNS. I understand that Young America’s Foundation makes no promises or guarantees that an accommodation will be made for my allergy, even after notifying Young America’s Foundation of said allergy. As such, I recognize that if I consume food or beverage at a Young America’s Foundation event, I am doing so at my own risk.

    D.Emergency Medical Treatment Consent/ Property Damage.ZI grant permission for emergency medical treatment in case of sickness or injury and have indicated any special medical needs or allergies in the space provided below. All expenses incident to hospital care shall be my responsibility. I also accept responsibility for any property damage to the conference facilities that I may cause.

    E. Consent and Release for Use of Likeness. Young America’s Foundation uses real photos, videos, and quotes from its students for promotional purposes and to advance its mission. By signing below, I consent to the use of photos, written evaluation statements, and video footage of myself in any Young America’s Foundation materials or for any other legitimate purpose.

    F. Severability. If any provision of this waiver is held to be invalid or unenforceable that provision will be eliminated or limited to the minimum extent possible, and the remainder of the waiver will have full force and effect.

    G. Understanding and Acceptance. By including my name on this form and participating in this Program, I confirm that I understand this Waiver, I accept its terms freely, I declare my intention to bound by its terms, and I acknowledge it shall be construed broadly to provide a full release and waiver to the maximum extent permissible under applicable law.
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  • In the event of an emergency, please contact:
  • *You will need a separate form if you are under 18.