For and in consideration of my child's participation in the Raven Words Summer Youth Writing Workshops, I attest that my child is physically and mentally capable of participating in group activities with an adult leader. My child's participation is voluntary and done at his/her/my own risk. For myself, my heirs, my administrators and executors, personal representative and my assigns, I forever waive, release, and discharge any and all claims and rights for damages or losses, whether monetary or otherwise, against 49 Writers, agreeing now and forever to hold these parties harmless, indemnifying them against all claims, judgments, damages, and costs. I agree to abide by all instructions from workshop leaders and agree to withdraw my child from the program if said leader in his or her sole judgment and discretion determines that my child should not participate because s/he poses a threat to the safety of him/herself or others or because s/he does not abide by instructions. I grant permission to 49 Writers and the to use any videotapes, photographs, motion pictures, recording, or any other record of my child and/or the workshop for any legitimate purpose, including publication of an anthology of student work. I certify that all information provided here is true and correct and that the Student Writing is the original work of the student. I understand that scholarships are awarded solely at the discretion of the Raven Words staff, and that the scholarship has no intrinsic or transferable cash value. If a scholarship is awarded, I agree to provide for transportation to and from Teen Underground at the Loussac Libraryl in Anchorage and to make sure my child participates fully or to notify Raven Words staff immediately if participation is not possible.