General Liability Release Form For Participation At Explorers Homeschool Academy Under The Supervision Of A Non Parental Adult printable pdf download

General Liability Release Form For Participation At Explorers Homeschool Academy Under The Supervision Of A Non Parental Adult

General Liability Release Form

For participation at Explorers Homeschool Academy under the supervision of a non

parental adult.

Date: ______________________ (dd/mm/yyyy)

I _______________________________________ (parent name) Give my permission for

my child __________________________________(child name—must be middle or high school

age) to attend Explorers Homeschool Academy on _____________________(Date of parental

absence dd/mm/yyyy) under the direct supervision of __________________________________

(name first and last of adult assigned to supervise the child. )

This same adult shall accept all responsibility for (including but not limited to) disciplinary

actions or medical attention should the child need this.

I, the undersigned parent, hereby grant the aforementioned adult authorization to:

-obtain medical treatment and procedures for my child(ren) as may be appropriate in

emergency circumstances, including treatment by physicians, hospital and clinic

personnel, and other appropriate health care providers.

I, the undersigned parent, herby grant the aforementioned adult authorization to verbally

discipline my child in the event the child does not behave appropriately while at

Explorers.

In case of an needed discipline or medical emergency, the responsible adult should first try to

contact the parent.

Signature of parent or legal guardian _____________________________________________

General Liability Release Form For Participation At Explorers Homeschool Academy Under The Supervision Of A Non Parental Adult