Cornerstone Christian Montessori, DBA Legacy Montessori School Release of Liability

For Participants of AWANA Boys and Girls Club
Meeting Saturdays 3pm-4:30pm
Legacy Montessori School
12310 Ninth Street, Poway, CA 92064
Date

RELEASE OF LIABILITY

I, as parent/legal guardian, give my permission for the child stated on this form to attend and participate in all activities of the AWANA Boys and Girls Club program located at 12310 Ninth Street Poway, CA 92064. By participating in the Awana club, students, family members and their affiliates (henceforth designated as STUDENT/FAMILY) agree to the following terms and conditions:

STUDENT/FAMILY agrees to indemnify and hold harmless Cornerstone Christian
Montessori School, DBA Legacy Montessori School, its staff, officers, owners, or related agents
(henceforth designated as LMS) from all liability, claims for damages and/or suits for or by
reasons of any injury, or death of a student of his/her family members.

LMS will not be liable for any damages of any kind arising from the participation at Awana
and while using its facility, including but not limited to direct, indirect, incidental punitive and
consequential damages.

 I understand LMS is not a sponsor of the Awana Club and has no affiliation with the club
and GC2 church. It simply allows the club to use its facility for meetings.

While on site, I will ensure supervision while my child is under my care and have respect
and care for the property.

STUDENT/FAMILY agrees to refrain from any form or semblance of slander, libel, and
defamation against LMS, in any form including but not limited to verbal, written, electronic, etc.

By signing my name below, I acknowledge that I understand and agree to comply with the above
rules and regulations.

Date

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