As parent/guardian of Student(s), I certify that the Student(s) is physically, mentally and emotionally able to participate in the Activity in which we have chosen to participate. I will remain at the location during testing and monitor my student(s) participating as well as any siblings I bring.
As consideration for the School allowing my Student’s participation in the Activity, I, as parent/guardian of the Student(s) and/or Sibling(s) listed below, assume all risks and release, waive, discharge, and hold harmless the School, its affiliates, directors, officers, employees, volunteers, and agents (collectively, “Releasees”), from any and all claims arising from or relating to the Activity, including claims that may arise out of School’s negligence, and for any other act or omission that causes, or is related to, illness, injury, death, or damages to myself, Student, and/or my guests (e.g., additional parent/guardians of Student, Siblings, etc.) from my, Student’s, and/or Sibling’s participation in the Activity.
I agree to indemnify and hold harmless the Releasees from any and all claims, including defense costs (including attorneys’ fees) of bodily injury, property damage, or wrongful death by third parties that may have been caused by Student, myself, or my guests (e.g., Sibling and/or additional parent/guardian of Student), whether negligent or not, due to my, Student’s, and/or Sibling’s participation in the Activity. I agree to this Agreement on behalf of me and my heirs, executors, administrators, and assigns. This waiver and release do not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that California law does not permit to be released by agreement.
In signing this Parental Authorization & Waiver/Release of Liability (“Agreement”), I am giving up substantial actual or potential rights in order to allow the Student(s) to voluntarily participate in the Activity. I have signed this Agreement with full appreciation and understanding the Activity (including transportation to/from) involves numerous risks, dangers, and hazards, both known and unknown, where serious accidents can occur, participants can sustain physical injuries, damage to our property, or even death. I acknowledge, regardless of whether the particular Activity involves physical activities or not, the Activity may have inherent risks of injury which are inseparable from the activity and cannot be entirely eliminated regardless of the care taken by the educational venue, School, or other individuals.
If I, the Student(s), and/or Sibling(s) believe that an unsafe condition or circumstance exists with respect to the Activity, I, Student(s), and/or Siblings(s) will discontinue participation and immediately notify the School. We shall not further participate until the unsafe circumstance is remedied.
I understand that our participation in the Activity during the COVID-19 pandemic may result in the Student(s), Sibling(s), myself, or guests contracting COVID-19, which may be spread to others and may result in severe illness, hospitalization and/or death. I acknowledge there are risks of myself, Student(s), and/or Siblings(s) contracting COVID-19 despite the educational venue and Student(s), Sibling(s), and I following health and safety protocols (e.g., face coverings, physical distancing, hygiene best practices). Although safety measures recommended by public agencies can reduce the likelihood of COVID-19 virus exposure, they cannot fully eliminate all risk. There is a risk of exposure to the COVID-19 virus whenever an individual enters or accesses facilities such as stores, restaurants, parks, and schools. I understand the Activity is voluntary and there are virtual activities available.
I acknowledge that I have read the foregoing Agreement, and I am fully aware of the potential dangers and risks inherent and incidental to participating in the Activity. I am fully aware of the effect of signing this Agreement. I voluntarily sign my name as evidence of my acceptance of the above provisions.