2019 Summer STEAM Sports Program

PUSH FOR EXCELLENCE, Inc., AND THE RAINBOW PUSH COALITION, Inc.

2019 SUMMER STEAM SPORTS PROGRAM

(Saturday, July 13, 2019, through Saturday, August 31, 2019)

 

PARENTAL RELEASE

 

Please read this carefully before signing.  In signing this form, the parent/legal guardian is waiving and releasing PUSH for Excellence, Inc., and the Rainbow PUSH Coalition, Inc., and its agents/employees from any and all liabilities from possible injuries sustained as a result of student’s participation in the 2019 Summer STEAM Sports Program.

I acknowledge and give permission to PUSH for Excellence, Inc., which will have responsibility for the minor child(ren) participating in the 2019 Summer STEAM Sports Program and hereby release and hold harmless PUSH for Excellence, Inc., the Rainbow PUSH Coalition, Inc., and their chaperones, agents, and employees from any and all liabilities associated with the child’s (children’s) participation in the 2019 Summer STEAM Sports Program during the time period stated herein.  (Saturday, July 13, 2019, through Saturday, August 31, 2019).

As a parent (or, guardian) of a student (or, students) participating in the PUSH for Excellence, Inc., and Rainbow PUSH Coalition, Inc., 2019 Summer STEAM Sports Program, I recognize and acknowledge that there may be possible risks of physical injury to the student(s).  I agree to assume the full responsibility for the risk for any injury, including damages or loss which the student(s) may sustain as a result of participating in any and all activities connected with or associated with the 2019 Summer STEAM Sports Program, and I further release PUSH for Excellence, Inc., and the Rainbow PUSH Coalition, Inc., and all of their entities/affiliates of any and all responsibility.  I indicate by affixing my signature that my child is covered by my health insurance carrier.  I also recognize that this is a peaceful and non-violent summer program.  I further understand that any arrest of the student(s) for whom I am the parent or guardian that may occur while in this summer program is at my own expense and not PUSH for Excellence, Inc., or the Rainbow PUSH Coalition, Inc., or any of their agents, entities, or affiliates.  This waiver/release is in effect from Saturday, July 13, 2019, through Saturday, August 31, 2019.  I have read and fully understand the above Waiver and Release of All Claims.

 

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