BROOKFIELD SCHOOL PTA END OF THE YEAR POOL PARTY HOLD HARMLESS AGREEMENT FOR BROOKFIELD SCHOOL AND BROOKFIELD PTA The Brookfield School PTA End of the Year Party will take place at Wild Island on Friday, June 12, 2015. I hereby consent to my child(ren) taking party in this trip and expressly relieve, indemnify, and hold harmless Brookfield School and Brookfield School PTA in Reno, Nevada and all respective directors, employees, officers and volunteers thereof (collectively referred to as “Brookfield”) from and against any and all liability or claims arising from injury or damage to person, property, or both, caused by or resulting from my child(ren)’s acts, omissions or conduct while on this trip. I also release and relieve Brookfield from any and all liability of claims arising from injury or damages suffered or incurred by my child(ren) as a result of the acts, omissions, or conduct of any person, other than the negligence of Brookfield. It is further understood that I shall have the responsibility of advising my child(ren) of the risks which are known, or should be known, on this trip. I further agree to assume the responsibility of seeing that my child(ren) cooperates and conforms to the fullest extent with Brookfield and any instructions from Brookfield pertaining to this trip, as well as all park regulations/rules set forth by Wild Island for their water park guests, particularly in regards to adult supervision of minor park attendees. Name of Student(s):________________________________________________________________ Teacher(s): _______________________________________________________________________ Emergency Contact Name and Number: _________________________________________ ______OPTION 1. I will be transporting my child(ren) to the water park event at Wild Island. I understand I am responsible for transporting my child(ren) to and from the water park and for providing appropriate supervision for my child(ren) at all times during their time at the water park, in accordance with all Wild Island water park facility rules and regulations, as mandated with water park admittance. ______OPTION 2. I cannot attend the water park event at Wild Island. I have asked ____________________ (Authorized Adult/Parent’s Name) and he/she has agreed to transport and supervise by child(ren) at all times during their time at the water park, in accordance with all Wild Island water park facility rules and regulations, as mandated with water park admittance. ________________________ ____________________ _________ Signature of Parent/Guardian Cell Date PLEASE RETURN THIS FORM WITH PAYMENT The End of the Year PTA Pool Party is Wednesday, June 11th. Lunch will be available at Main Campus at noon. The Elks Club (next door to TLC) is opening their pool for a splashy good time at 1:00 – 3:30 pm. All students who wish to attend will need a signed waiver from a parent and transportation arrangements both to and from the Elks Lodge. Please click here for the waiver. Don't forget your bathing suit, sunscreen and towels! PLEASE RETURN THIS FORM WITH PAYMENT
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