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  • Fall Festival Waiver

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    becky21355
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    This document is a parental waiver form for a school fall festival. It gives permission for listed children to participate in activities like a bounce house and hay ride. The parent assumes all liability and releases the school from responsibility for any injuries, unless caused by sole negligence of the school. In case of emergency, treatment is authorized. The parent signs and dates to agree to full responsibility for their children at the event.

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    This document is a parental waiver form for a school fall festival. It gives permission for listed children to participate in activities like a bounce house and hay ride. The parent assumes all liability and releases the school from responsibility for any injuries, unless caused by sole negligence of the school. In case of emergency, treatment is authorized. The parent signs and dates to agree to full responsibility for their children at the event.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    168 views1 page

    Fall Festival Waiver

    Uploaded by

    becky21355
    This document is a parental waiver form for a school fall festival. It gives permission for listed children to participate in activities like a bounce house and hay ride. The parent assumes all liability and releases the school from responsibility for any injuries, unless caused by sole negligence of the school. In case of emergency, treatment is authorized. The parent signs and dates to agree to full responsibility for their children at the event.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    ParentsApprovalandStudentWaiver

    Thechildrenlistedbelowhavemy(our)permissiontoparticipateinDFESFallFestivalscheduledfor
    October26,2012.Thiseventmayincludeanairfilledbouncehouse,hayride,orarockclimbingwall
    thatexceedsaheightof9feet.
    Theundersignedparentorguardianassumesallriskandliabilityinconnectionwiththestudents
    participationinthisevent.I(we)herebyrelease,dischargeandwillinsuretheSchoolBoardofDistrict5
    LexingtonCounty,itsofficers,employeesandagentsfromallliability,claimsordemandsforany
    damage,lossorinjurytothestudent,thestudentsproperty,orparentspropertyinconnectionwith
    participationintheseactivities,unlesstheinjuryorlosswascausedbythesolenegligenceoftheSchool
    BoardofDistrict5LexingtonCounty,itsemployeesandvolunteers.Idoherebycertifythattothebest
    ofmy(our)knowledgeandbeliefthatmychildisingoodhealthandisfullyabletoparticipateinthese
    activities.Incaseofillnessoraccident,permissionisgrantedforemergencytreatmenttobe
    administered.Itisfurtherunderstoodandagreedthattheundersignedwillassumefullresponsibility
    foranysuchaction,includingpaymentofcosts.
    ____________________________________________________________________________________
    PrintChild#1Name

    ____________________________________________________________________________________
    PrintChild#2Name

    ____________________________________________________________________________________
    PrintChild#3Name

    ____________________________________________________________________________________
    PrintChild#4Name

    ____________________________________________________________________________________
    Address

    City

    State
    Zip
    ____________________________________________________________________________________
    Parent/GuardianSignature

    Date

    Phone

    ____________________________________________________________________________________

    Note:WaiversmustbecompletedandreturnedtothePTOtoaccesstheRockClimbingWall,bounce
    house,andhayride.IfyouneedadditionalRiskManagementWaiverForms,gototheDFESwebsite.
    PAGE4of4

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