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

Your name *

Email address *

CHILD'S NAME (If you are registering multiple children, fill out a seperate liability form for each child). *

Birthdate *

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:

Liability *

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.

Property Damage *

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.

Sponsorship *

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.

Sponsorship *

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

and care for the property.

Slander *

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.

Signature *

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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