Parent's Name *

First Name

Last Name

Child's Name 1 *

First Name

Last Name

Child's Name 2

First Name

Last Name

Child's Name 3

First Name

Last Name

Child's Name 4

First Name

Last Name

WAIVER OF LIABILITY FOR PARTICIPATION IN VENTANA FALL FEST *

I hereby accept any and all responsibility for, and assume the risk of any and all injury and damage to myself, dependent children, spouse or partner, and my property which might arise directly or indirectly as a result of our participation in the Fall Fest or upon the premises where the Fall Fest is being conducted. I hereby expressly release, discharge, indemnify, and hold Ventana School, Christ Episcopal Church, and all their directors, officers, employees, agents and volunteers in their capacities as representatives of Ventana School harmless from any liability, claims, demands, actions, and causes of action whatsoever, including negligence, except for injuries or damage caused by willful misconduct. I understand this means that I agree that I, and my children, spouse or partner, will not bring an action, lawsuit, or claim of any kind for recovery of any damages, other than those resulting from willful misconduct. I certify that I am familiar with the contents of this release, that I have read and understood the same, and that it is my intention by signing this release that the same be binding not only on me, but my heirs, administrators, successors, and assigns.

I accept

Date *

MM

DD

YYYY