DOWNLOAD – Parental Authorization/Liability Waiver & Release Form

I hereby give permission for my child to participate in the  event to be held at the Westtown School, Knowing the dangers, hazards, and risks of the activities of the above referenced event (the “EVENT”), specifically including, but not limited to falls, physical contact with other participants, effects of weather, including high heat/humidity, exposure to insects and other domestic or wild animals, and other natural dangers and, to the extent water activities are included, drowning and in consideration of my child being permitted to participate in the Event, on behalf of my child, myself, my family, heirs, personal representatives, I, the undersigned, agree to assume all risks and responsibilities surrounding my child’s participation in the Event, transportation to and from the Event and in any independent activities undertaken as a participant and in advance, I release, waive forever discharge and covenant not to sue the Westtown School, its employees, agents, trustees, or representatives (collectively the “RELEASEES”), from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, cost and expenses of any nature that my child and I may have or that may hereafter accrue to one or both of us, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustain to my child or any property belonging to me/my child while on, or in transit to or from the premises where the Event or any adjunct activities of the Event occurs or is being conducted, regardless of whether such injury is caused by the negligence of the Releasees.

I understand and agree that Releasees do not have medical personnel available at the location of the Event. I grant my permission for the Westtown School’s nurse and/or medical staff to treat my child and for Releasees to authorize emergency medical treatment at any emergency care facility, if necessary and that such action by Releasees shall be subject to the terms of this Authorization and Release. I understand and agree that the Releasees assume no responsibility for any injury or damage which might arise out of or in connection with such authorized emergency medical treatment. Further, I understand that the Westtown School does not provide accident/health insurance for the participants, including my child, and I assume personal and financial responsibility for any such medical care and treatment.

Signature of Parent / Guardian for Participants: ​I certify that I have custody of the participant or am the legal guardian of participant by court order. I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND AND AGREE TO ITS TERMS. I AM AWARE THAT THIS AGREEMENT INCLUDES A RELEASE AND WAIVER OF LIABILITY (INCLUDING NEGLIGENCE) and AN ASSUMPTION OF RISK.