As a condition to my participation in the above program conducted or sponsored by the City of Selma/ Selma Arts Council, I understand and agree to the following: That the City/ Arts Council, its officers, employees, and agents shall not be liable for any loss, damage, injury or liability of any kind to any person caused or arising from acts, omissions or negligence of the City/ Arts Council, its officers, employees or agents relating to or arising from my participation in the above program. That I will defend, indemnify and hold harmless the City of Selma/ Selma Arts Council and its officers, employees and agents from and against any and all loss, liability, charges and expenses (including attorney’s fees) and causes of action of whatsoever character which may arise by reason of participation in the above program or in any way connected therewith. The City of Selma/ Selma Arts Council does not provide accident, medical, liability or any other insurance for program participants. I also understand my picture might be taken as part of the program (or video submission) to promote our program on flyers, brochures, City website and marketing pamphlets. By submitting this form, you are agreeing to the above mentioned terms.

Assumption of the Risk and Waiver of Liability Relating to Covid-19 I agree that the City of Selma, its officers and employees and agents shall not be liable for any exposure to or infection with Coronavirus and/or COVID 19, or any other contagious or infectious disease arising out of my child’s participation in in the above program and that I will defend and indemnity the City of Selma, its officers, employees or agents from and against any loss, liability , charges and expenses (including attorneys fees) arising out of my child’s exposure to or contraction of any disease arising from participation in the above program. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself including but not limited to, personal injury, disability, illness, damage, loss, claim, liability, death or expense of any kind that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the above program. On my behalf and on the behalf of my child(ren)’s, I hereby release, covenant not to sue, discharge, and hold harmless the City of Selma’s employees, agents, and representatives, of and from any claims, including liabilities, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of the City of Selma, it’s employees, agents, and representatives, whether Coronavirus and/or COVID-19, or any other infectious disease occurs before, during or after participation in any of the City of Selma’s Community services program or by participating in activities held on the City of Selma’s property.