Baby & Me Nervous System + Healing Class

 

Functions and Activities

I understand that my child will be participating in kids classes, wellness activities, movement, yoga, mindfulness exercises, creative play, workshops, and other healing, recreational, or educational activities (collectively, the “Activities”) offered by Chelsea Hanson.  Prior to my child/youth’s participation in such activities, I acknowledge that there are certain risks associated with the activities including, by way of example, physical injury due to activity related accidents. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware. 

 

Release of Liability

By signing this Permission/Waiver Form, I expressly warrant that the child/youth named above is capable of withstanding the physical demands of the activities discussed above. I further release and agree to hold harmless, defend and indemnify CHELSEA HANSON and her directors, officers, employees, leaders and agents from and against any and all claims for personal injury (including loss of life) and all other losses or damages, except those caused entirely by the gross negligence or intentional conduct of Chelsea Hanson arising from my or my child’s participation in its activities and programs. I understand that participation in the Activities involves inherent risks which may include, but are not limited to, falls, collisions, physical exertion, use of props or equipment, and other risks that may result in injury. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury that my child may sustain as a result of participating in the Activities.

 

First Aid and Emergency Medical Treatment

I certify that my child is in good physical and mental health and able to participate in the Activities. I understand it is my responsibility to inform Chelsea Hanson of any medical conditions, allergies, injuries, behavioral concerns, or special needs that may affect my child’s participation.

I understand that Chelsea Hanson reserves the right to remove my child from an Activity if participation is deemed unsafe for the child or others.

Indemnification
I agree to indemnify and hold harmless each Released Party from any loss, liability, damage, or costs, including legal fees, that may arise from my child’s participation in the Activities.

Medical Authorization
In the event of an emergency, I authorize Chelsea Hanson and her representatives to obtain medical treatment for my child. I understand that I am responsible for any costs associated with such treatment.

Communicable Illness
I understand that participation in group activities carries a risk of exposure to communicable illnesses. I voluntarily assume this risk on behalf of my child.

Photo and Media Release
I give permission for photographs or videos of my child taken during participation in the Activities to be used by Chelsea Hanson for promotional, advertising, marketing, and social media purposes without compensation.

Personal Property
Chelsea Hanson is not responsible for lost, stolen, or damaged personal property.

Governing Law
This Agreement shall be governed by the laws of the State of California. Any legal action shall be brought in San Diego County, California.

Acknowledgment
I have carefully read this agreement and fully understand its contents. I understand that I am giving up substantial legal rights on behalf of myself and my child by signing this document. I sign this agreement freely and voluntarily.

 

MEDICAL HISTORY, SPECIAL MEDICAL NEEDS OR CONCERNS, MEDICATIONS, ALLERGIES, DIETARY NEEDS, CONDITIONS AND/OR OTHER INFORMATION THAT LEADERS SHOULD KNOW ABOUT YOUR CHILD/YOUTH SHOULD BE LISTED ON REALM REGISTRATION PER INDIVIDUAL EVENT. 

 

Parent/Guardian Authorization

I represent that I am the parent/guardian of the above child, who is under 18 years of age. I have read the above Permission/Waiver Form and am fully familiar with the contents thereof.

I give permission for the child named above to participate in the activities of Baby & Me Nervous System + Healing Class events/activities described above. In consideration for allowing the participation of the child in the activities with Chelsea Hanson, I hereby consent to the Permission/Waiver Form, including the Release of Liability above, on behalf of the child, and agree that this Permission/Waiver Form shall be binding upon me, my family, heirs, legal representatives, successors, and assigns.

I also understand that it is my responsibility to see that the information on this form is updated when there are any changes in my child’s/youth’s medical status, etc.