Parent Waiver, Release, Hold Harmless, and Indemnification Agreement

As Consideration for being allowed to enter the Rising star Preschool campus and/or participate in any program or event at Rising star Preschool, the undersigned, on his or her behalf, and on the behalf of the participant identified below, acknowledges, appreciates, understands, and agrees to the following:

1. I am the participant’s(Required)

(relation to participant).

I represent that I am the parent or legal guardian of the participant named below and I have permission to execute this agreement on their behalf:

Participant Name:(Required)

Date of Birth of Participant:(Required)

Parent/Guardian Name:(Required)

Parent/Guardian Signature:(Required)

Date:(Required)

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Parent Waiver, Release, Hold Harmless, and Indemnification Agreement

San Diego

Sacramento

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