Parental Consent and Waiver
Parental Consent and Waiver
Department of Education
REGION
Schools Division of
DISTRICT
SCHOO
I expect and know that the School Office will exercise the diligence required for the
safety and well-being of my child and that his/her participation in the activity will be
beneficial to him/her. However, participation in the activity carries with it certain risks that
cannot be eliminated regardless of the care taken to avoid injuries. I know and understand
these and other risks that are inherent to the stated activity and I hereby assert that my child’s
participation, as well as my consent to it, is voluntary and that I knowingly assume all such
risks. However, should anything happen that harms my child, I expect to be notified
immediately through my contact number _______________________.
I acknowledge that I am signing this freely and voluntarily and intend this by my
signature to be a complete and unconditional release of all liability to the greatest extent
allowed by law.
__________________________________________
Signature above printed name of Parent/Guardian
____________________________________
Date