has my (our) permission to participate in The Axiom programs, events and activities. I understand and acknowledge that participation in any event or activity poses risks to my child, including the risk of injury, illness, and serious injury or death.
I (we), as parent(s) or guardian(s) of the minor, do hereby, for my child, myself, my heirs, executors and administrators, release and forever discharge The Axiom and all officers, directors, employees, agents and volunteers of the organization, acting officially or otherwise, from any and all claims, demands, actions or causes of action which in any way arise from the minor’s participation in the above noted event.
I hereby certify that I have parent/guardianship of the above named minor and that his/her date of birth is {studentBirthdate35} and I do hereby certify that to the best of my knowledge and belief said minor is in good health. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood that the undersigned will assume full responsibility for any such action, including payment of costs.