Fill and Sign the Personal Injury Waiver Release Hold Harmless and Indemnity Agreement for Babysitting Services Offered by Nonprofit Organization 497328365 Form

Waiver, Release, Hold Harmless, and Indemnity Agreement for Babysitting Services offered by Non-Profit Organization REGISTRATION FORM Names of Parents _______________________________________________________________ Phone Number where Parents may reached ___________________________________________ Allergy/medical concerns _________________________________________________________ Child = s Name________________________________________________________ Age _____ Child = s Name________________________________________________________ Age _____ Child = s Name________________________________________________________ Age _____ WAIVER AND RELEASE I, ___________________________________, parent of __________________________, in consideration of the babysitting services provided by the ___________________________________ (Name of Non-Profit Organization) , hereby agree to waive and hereby waive all claims against ___________________________________ (Name of Non-Profit Organization) , and its agents, employees, volunteers, representatives, officers, and directors (Indemnitees), for injuries or damages caused by, arising out of, or relating to my child = s (children = s) participation in the babysitting services offered by ___________________________________ (Name of Non-Profit Organization) whether caused by, arising out of, or relating to negligence of Indemnitees or otherwise. I further agree to indemnify, save and hold Indemnitees harmless from any loss, liability, attorneys = fees, damage, or costs that they (or any of them) may incur arising out of or related to the babysitting services offered by ___________________________________ (Name of Non-Profit Organization) whether caused by the negligence of the Indemnitees or otherwise. Parent = s Signature ______________________________________________ Date____________