1. ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks
associated with the above described activity and I assume full responsibility for personal injury to
myself and (if applicable) my family members, and further release and discharge Villa Preparatory
Academy for injury, loss or damage arising out of my or my family's use of or presence upon the
facilities of Villa Preparatory Academy, whether caused by the fault of myself, my family, Villa
Preparatory Academy or other third parties.
2. INDEMNIFICATION. I agree to indemnify and defend Villa Preparatory Academy against all claims,
causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation
costs, which may in any way arise from my or my family's use of or presence upon the facilities of Villa
Preparatory Academy.
3. FEES. I agree to pay for all damages to the facilities of Villa Preparatory Academy caused by any
negligent, reckless, or willful actions by me or my family.
4. FEES. I agree to pay for all damages to the facilities of Villa Preparatory Academy caused by any
negligent, reckless, or willful actions by me or my family.
5. MEDICAL AUTHORIZATION. In the event of an injury to the above minor during the above described
activities, I give my permission to Villa Preparatory Academy or to the employees, representatives or
agents of Villa Preparatory Academy to arrange for all necessary medical treatment for which I shall be
financially responsible. This temporary authority will begin on June 9, 2025 and will remain in effect
until terminated in writing by the undersigned or July 18, 2025, whichever occurs first. Villa
Preparatory Academy shall have the following
a. The power to seek appropriate medical treatment or attention on behalf of my child as may be
required by the circumstances, including without limitation, that of a licensed medical physician and/or
a hospital; b. The power to authorize medical treatment or medical procedures in an emergency
situation; and