Dpr Accident Waiver And Release Of Liability Form (Page 2 of 2) in pdf

Dpr Accident Waiver And Release Of Liability Form Page 2

PARENT/GUARDIAN W AIVER F OR M INORS

The u ndersigned p arent o r l egal g uardian d oes h ereby r epresent t hat h e/she i s, i n f act, a cting i n s uch c apacity,

has consented to his/her child’s or ward’s participation in the Activity, and has agreed individually and on

behalf of the child or ward, to the terms of this ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM. The

undersigned parent or guardian further agrees to save and hold harmless and indemnify the District Parties

from a ny a nd a ll l iability, l oss, c ost, c laim o r d amage w hatsoever w hich m ay b e i mposed u pon a ny D istrict P arty

because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and

the m inor’s p arents o r l egal g uardians.

__________________________________________

______________

Signature o f P arent/Legal G uardian

Date

Print N ame:________________________________

Print A ddress:_______________________________________________________________________________

__________________________________________

Parent/Legal G uardian’s P hone #

Dpr Accident Waiver And Release Of Liability Form Page 2