By signing below, and in consideration of my child being permitted to participate in the after school program and outing, I understand and agree as follows:
I am fully aware that participation in may result in risk of personal injury or harm to my child. I hereby agree to release and hold harmless the Lauren’s House 4 Positive Change Inc (Lauren’s House). its, officers, employees, volunteers, committees and boards, from and against any and all liability, loss, damages, claims, or actions (including costs and attorneys fees) for bodily injury and/or property damage, to the extent permissible by law. I understand and agree that no oral or written representations can or will alter the contents of this document.
This indemnification and hold harmless agreement shall include indemnity against all costs (including without limitation, reasonable attorney’s fees and court costs), expenses and liabilities incurred in or in connection with any such claim or proceeding brought thereon and in defense thereof.
I have read and understand this release, indemnification and hold harmless form. I voluntarily sign it and hereby give permission to Lauren’s House for emergency transportation and/or treatment in the event of illness or injury. I hereby accept responsibility for the payment of any emergency transportation and/or treatment. I further certify that my child is in good physical condition, and has no medical or physical conditions that would restrict his/her participation in this activity or program. I have medical coverage for my child and that information has been provided to Lauren’s House staff.