By completing this enrollment form, I agree to the following:
1) Parental Consent and Release
I agree to allow the enrolled student to attend and participate in any activities and events associated with this program. I hereby release, discharge, indemnify, and agree to hold harmless Evergreen School District, LeyVa Middle School and PEER (including all program staff and or volunteers) from any and all liability for personal injuries and/or damages, injury, or illness that may be incurred at these events.
2) Medical Release
In the event of an emergency and in the event that I cannot be reached, I hereby give permission to program staff and or volunteers to secure emergency transportation including hospitalization, at my expense, to any hospital for the enrolled student. I release program staff and or volunteers from claim or liability due to illness or injury. I understand that this is a MEDICAL RELEASE AGREEMENT.