PARENTAL PERMISSION & ASSUMPTION OF RISK WAIVER/RELEASE OF LIABILITY

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I ________________________, parent or legal guardian of ________________________, my minor child, hereby give permission for my child to participate in the Homeschool Enrichment Classes / Program through Curriculum Connections.

I understand and acknowledge the contagious nature of COVID-19 as well as the governmental guidelines, including, but not limited to basic health and hygiene practices, such as frequent handwashing, social distancing, and use of face masks in non-ventilated and/or public locations.  I am aware of the possible increased risk of exposure or infection while attending classes and activities offered by Curriculum Connections, which occur in a public location, with access to multiple students, parents, staff, volunteers, and members of the public.  I am aware that exposure to COVID-19 (or its variants) can result in infection, serious injury, or even death.  I assume all such risk and accept sole responsibility for any harm or loss to myself and/or student, including, but not limited to, serious illness, personal injury and/or death, or related costs or expenses of any kind, that I, or, if applicable, my child, may experience or incur as a result from participating in classes and activities coordinated by Curriculum Connections, regardless of whether or not caused in whole or in part by the alleged or actual negligence of Curriculum Connections, its owner, instructors, chart school vendors, classroom teachers, representatives and/or volunteers.

I have read and verify this above statement with my initials __________________

 

I also hereby warrant that both myself and my child are familiar with the risks associated with participation in Curriculum Connections activities. I acknowledge that my child’s participation in this program is wholly voluntary and is not part of their required school curricular program.

I certify that my child is physically, mentally, and emotionally able to participate in the Curriculum Connections enrichment program.  I do hereby agree and consent to my child’s participation in the Curriculum Connections program and do assume all risks and hazards which are conducted as part of the associated activities.

I hereby voluntarily release, absolve, indemnify, and hold blameless Curriculum Connections, Dawn Setters, its officers, directors, employees, contracted employees, independent contractors, instructors, agents, organizers, and volunteers of any and all liability for damage, injury, or expense of any kind arising out of or connected with my child’s participation in Curriculum Connections.

I understand that in case of a medical emergency, my own personal medical plan will be used if available; if not, medical aid may be sought while I am being contacted. In the event of any illness or injury, I hereby consent to whatever examination, diagnosis, or treatment and the hospital care from a licensed dentist, physician, and/or surgeon as deemed necessary for my child’s safety and welfare. I understand that the resulting expenses will be my responsibility and not Curriculum Connections’, or any affiliates. As a condition of participation in the Curriculum Connections enrichment program by the student named in this application, I acknowledge that I have read this consent form, and knowingly, on behalf of my child, assume all of the risks associated with participating in any way in the Curriculum Connections enrichment program.

As consideration for being permitted to participate in the Curriculum Connections enrichment program, I hereby agree that I, my assignees, heirs, guardians, and legal representatives will not make claim against, sue or attach the property of Dawn Setters and/or DBA Curriculum Connections, or their affiliates or the supplier of any of the equipment used in these activities for injury or damage resulting from negligence, failure of care, omission or other acts, howsoever caused by an employee, agent or contractor of Curriculum Connections and any affiliate as result of incidental to my child participation in these activities. I hereby release, to the fullest extend permitted by law, Curriculum Connections and the affiliates, from any and all actions, claims, demands, or liabilities that I, my assignees, heirs, distributes, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my son/daughter’s participation in these activities irrespective of whether the same is based on breach of warranty, negligence, strict liability or any other theory or recovery.

Parent/Legal Guardian acknowledges that Curriculum Connections is an homeschool program and not a licensed childcare or daycare facility.

I have read this agreement, understand the words and language in it and agree to the conditions stated above.  I also understand that this ‘PARENTAL PERMISSION & ASSUMPTION OF RISK WAIVER/RELEASE OF LIABILITY’ is valid for the duration of time that my child participates in the Curriculum Connections enrichment program, whether they leave for a segment of time and re-enroll or maintain ongoing enrollment without breaks.

 

Student’s Full Name (Printed) _______________________________________    Current Grade ______________

Parent/Legal Guardian’s Full Name (Printed) ______________________________________________________

Parent/Legal Guardian’s Signature:________________________________________     Date:________________