Please complete this form for every boy that will be attending the event/camp.
IFull Name (aFs appearing ozvn your ID)* with ID ID number* acknowledge the contagious and unpredictable nature of COVID-19 that makes it difficult to prevent transmission, and I hereby voluntarily execute this COVID-19 Transmission Indemnity Form (Indemnity) in my capacity as Please Select parent legal guardian * of First Name* Last Name* {name of son} in the Character Company MENtorship Program.
Following the pronouncements above I hereby declare the following: I am willing to accept the risk and give permission that First Name* Last Name* {name of son} participate in events/camps held by the Character Company at any of their approved locations during the 2022 calendar year.
By signing below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; that I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.
This waiver will remain effective until laws and mandates relevant to COVID-19 are adjusted or lifted.
NB: Please do not forget to make a payment into our bank account.
The Character Company
BANK NAME: First National Bank
BRANCH CODE: 250655
ACCOUNT NO.: 62411406954
REF: Boy's name