Fill and Sign the Parent Guardian Form for School Student Contact Information

PARENT/GUARDIAN PERMISSION FOR CHILD TO PARTICIPATE I,       , hereby grant permission for my child(ren)       to participate in the following activity or function:       under the supervision of, or sponsored by       after school on the following days: M T W TH F . I further agree to assume responsibility for any liability that may arise out of ordinary negligence or otherwise, with the exception of acts of gross negligence, or intentional, willful or wanton misconduct. I fully understand and acknowledge that risks and dangers are inherent in the aforementioned activity and that said child’s participation in such activities and/or use of the accompanying equipment may result in injury or illness or death or damage to personal property. On behalf of myself, my heirs, assigns, child, and next of kin, I waive all claims for damages, injuries and death sustained to my child that I may have against       arising out of ordinary negligence or otherwise with the exception of acts of gross negligence as indicated above. I warrant that the aforementioned child is in good health and possesses the requisite skills and/or abilities to participate in said activity. I further give permission and authorization for any necessary medical or dental treatment should an emergency occur. I specifically give permission for       to contact       at the following telephone number in case of emergency and I cannot be reached       __________.                   Name of child Age Date of birth ________________________       Parent/Guardian signature Date Copyright 2004 USLegalforms.com