**READ THE FOLLOWING CAREFULLY AND SIGN BELOW. | |
|
Agreement
I further agree that GMG and the sponsor of any GMG event, along with the employees, agents, officers and directors of these organizations, shall not be liable for any losses or damages occurring as a result of my/our child's participation in any GMG event or activity, except where such loss or damage is the result of intentional or reckless conduct on one of the individual (s) /organization (s) mentioned above. I hereby verify by my signature below that I fully understand and accept each of the above conditions for permitting me to participate in classes, events, and activities conducted by GMG. This waiver/ Release form shall remain in effect for as long as______________________________________ (name of participant) participates in any GMG activity until such time of written notice rescinding this waiver/ release is received by GMG. Name of Participant: _____________________________________________Date of Birth: ________________________________________ Emergency Contact Name: ______________________________ Phone #: ____________________________ Signed:______________________________________________ Printed Name:________________________________________ Dated: ____/____/____ |