Generation Next- Abstract- Travel Waiver & Hold Harmless Agreement + Media Release

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DETAILS:

Name of Activity: 10th Anniversary HBCU Climate Change Conference - March 5–9, 2025

Location of Activity: JW Marriott Hotel, 614 Canal, New Orleans, LA 70130

Student's First Name

Student's Last Name

Student's Email

Student's Mobile Phone Number

School Name

School City

School State

Student's Grade

Parent/Guardian First Name:

Parent/Guardian Last Name:

Parent' Email address:

Parent's Phone Number:

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Abstract Title:

Abstract (100 - 150 Words)

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TRAVEL WAIVER/ HOLD HARMLESS AGREEMENT

I give my permission for my student to participate in the above activity.
I acknowledge that the HBCU Climate Change Consortium has offered to provide transportation to and from the Activity.
I understand and acknowledge that serious accidents sometimes occur during such travel, and that that the travel could result in loss of or damage to property and injury to the student.
I am aware of the inherent potential risks associated with such travel and am willing to assume these risks.
I understand and acknowledge that the HBCU Climate Change Consortium accepts no responsibility for the student’s travel injuries or damages resulting therefrom are not covered by any HBCU Climate Change Consortium insurance policies.
In consideration of my participation in the event, on behalf of the student, my family, heirs, and personal representative(s), I hereby release the HBCU Climate Change Consortium, its governing board, officers, employees, and representatives (collectively the “Releasees”) from any and all liability for any and all claims and causes of action for loss or damage to the student’s property, personal injury or death, that may result from or occur as a result of my travel. I further agree to indemnify and hold harmless the Releasees from liability arising from my tortious acts or omissions.
I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND IT TO BE A RELEASE OF ALL CLAIMS AND CAUSES OF ACTION FOR THE STUDENT’S INJURY OR DEATH OR DAMAGE TO PROPERTY THAT OCCURS WHILE TRAVELING TO OR FROM THE ACTIVITY AND IT OBLIGATES ME TO INDEMNIFY THE PARTIES NAMED FOR ANY LIABILITY FROM MY TORTIOUS ACTS OR OMISSIONS.
I further agree that this Release shall be construed in accordance with the laws of the States of Louisiana, Texas, Florida, Alabama, Mississippi and Michigan. If any term or provision of this Release shall be held illegal, unenforceable, or in conflict with any law governing this Release the validity of the remaining portions shall not be affected thereby.

Parent Acknowledgement of Agreement:

Please type your name below to confirm agreement.

MEDIA RELEASE

I, as the parent or guardian of the student listed above, hereby give the Deep South Center for Environmental Justice (DSCEJ) and its employees, representatives, and authorized media organizations permission to print, photograph, and record my child for use in audio, video, film, or any other electronic, digital and printed media.

This is with the understanding that neither DSCEJ nor its representatives will reproduce said photograph, interview, or likeness for any commercial value or receive monetary gain for use of any reproduction/broadcast of said photograph or likeness. I am also fully aware that I will not receive monetary compensation for my child’s participation.

I further release and relieve DSCEJ, its employees, and other representatives from any liabilities, known or unknown, arising out of the use of this material. I certify that I have read the Media Consent and Release Liability statement and fully understand its terms and conditions.

Acknowledgement:

I am the parent of guardian of a minor. I have read the above and fully understand its contents. I hearby grant permission for my child’s/ward’s photograph(s) to be used in the manner specified above.

About the Deep South Center for Environmental Justice:

The Deep South Center for Environmental Justice (DSCEJ) works to empower and engage communities to put environmental justice and equity at the center of all climate action. Led by environmental justice scholar and advocate, author, civic leader and professor of Sociology Dr. Beverly L. Wright, the DSCEJ uses research, education, and community and student engagement to advocate for policy change, lead health and safety training for environmental careers, develop social and emotional community wellness programs, and create new and environmentally healthy opportunities for the residents of communities disproportionately impacted by historic environmental injustice.

Contact Information