Liability Release Form

Liability Release Form I agree this Waiver and Release of Liability shall apply to each day my child(ren) is in attendance at Champion Kidz Childcare LLC regardless of the date this form is signed below.

I agree I will assume the risk and full responsibility for any and all injuries, losses, or damages, which might occur to my child(ren) or other members while on the premises of the childcare or participating in any off-site activity involving traveling to a location,; and to the maximum extent of the law. I agree to waive and release any and all accidents, claims, suits or related causes of action against Champion Kidz Childcare LLC, their owners, employees or agents for injury, loss, death, costs or other damages to me, my heirs or assigns, or third parties for claims, suits, or related causes of action asserted against the childcare arising or resulting from my child(ren) conduct while participating in the childcare & programs or activities. I hold harmless Champion Kidz for incidents/situations of neglect, misconduct from another child or adult that was outside of the business control or knowledge. *This is does not release Champion Kidz Childcare from the responsibility of liability if something is done to be intentionally negligent to harm my child(ren) by Champion Kidz Childcare LLC.*

Parent/Guardian Signature

Parent Name

Child Name

Date

Email

example@example.com

Assumption of Risk Participation in physical activities can involve motion, rotation, and height in a unique environment and as such carries with it a certain assumption of risk. The undersigned and the participant(s) choose to voluntarily enter upon said premises under the control of said limited liability company, knowing their present condition and knowing that said condition might become more hazardous and dangerous during the time the participant or the undersigned is upon said premises. The undersigned and the participant(s) voluntarily assume any and all risks of loss, damage, or injury that may be sustained by the participant(s) and/or the undersigned or any property owner by them while on or upon said premises above. Champion Kidz Childcare LLC may, but shall not be obligated to carry insurance on the participant(s) and the existence of insurance shall not change, alter, or increase the liability of the LLC to the participant(s) and the undersigned or affect the terms of this Release. In signing the Release, the undersigned acknowledges: a)That they have read thoroughly, understands completely the terms of Registration and Release,and signs it voluntarily. b) That the undersigned signing either for themselves, or as Legal Guardian is, in fact, the true and legal guardian of the participant(s

* A copy of the following section will be earried with . Chemplon Kidz childezre LLC staff member whep

The undersigned gives permission for Champion Kidz Childcare LLC owners, employees, and/or agents to seekemergency medical treatment for the participant(s) in the event they are unable to reach any parentor guardian. The undersigned also agrees that they themselves will be responsible for any financialdebt incurred by said action.