First Name*   Last Name*   parent/legal guardian of, First Name*   Last Name* (child's name), age   Type a label    ,understand that said child will be participating in activities at Watertown Humane Society and in the course of such activities said child and I may have direct contact with domestic animals.
I understand that if I or my child have allergies, we may experience increased symptoms from participating in this program. I further understand that the behavior of domestic animals is sometimes unpredictable and that some domestic animals are capable of inflicting serious personal injury as well as extensive property damage. I also understand that there are zoonotic diseases that can be transmitted between animals and people. If I have questions/concerns about these, I will ask my pediatrician or my primary healthcare provider. Knowing the risks of handling domestic animals on behalf of the minor and myself, I agree to assume those risks and to release, indemnify, and hold harmless the Watertown Humane Society and/or any of its Administrators, Employees, Agents, or Contractors for any and all personal injury and property damages resulting from said child’s participation in activities.
I grant the right to photograph, reproduce, and use said child’s artwork, written work, picture, silhouette, and other reproductions of physical likeness in connection with Watertown Humane Society Reading Program promotions. 
I also understand that during participation in the Reading Program, I am expected to be with my child at all times and supervising his/her behavior and agree that we will follow all the rules of the Reading Program. 

As the chaperone of First Name*   Last Name*   (child’s name), a participant in the WHS Reading Program, I    First Name*   Last Name*   (adult’s name) understand that I will be participating in activities at Watertown Humane Society and in the course of such activities may have direct contact with domestic animals. I and my child/student agree to: