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CONSENT AND RELEASE FORM FOR EDUCATION TRIPS
* This form must be read and signed by a parent or guardian of any student who wishes to
participate in the Dunk Tank at the Cottingham Fun Fair. *
CONSENT
To be executed by all parents/guardians:
to participate in the Dunk
I hereby give my consent for
Tank. I recognize that there are risks inherent in the event.
PARENT/GUARD IAN
S
IGNATURT
DATE
PRINT NAME
RELEASE AND INDEMNITY
To be executed by all parents/guardians:
Vwe hereby release the Cottingham Jr. Public School and its respective Parent Council members,
officers, employees, stuclents, volunteers, and their successors and assigns (collectively referred
to as the "Council") from any and all liability for damages sustained in consequence of loss,
injury or damage to the person or property of the student referred to above, and from all other
actions, causes of action, claims, or damage of any kind with respect to death, injury, loss or
damage to the person or property of the student (the "Claims"), arising from the student's
participation in the dunk tank. I agree to indemnify the Council against any and all Claims
which may occur as a result of the student participating in the dunk tank.
PARENT/GUAR DIAN SIGNATURE
PRINT NAME
DATE