2016 - 2017 Meadow Park Elementary PTA PARENT’S APPROVAL, STUDENT, FAMILY,AND PARTICIPANT WAIVER
This Waiver is MANDATORY for all Students that wish to participate in Meadow Park Elementary PTA sponsored activities/events. Failure to do so will exempt your child(ren) from participating in the activities/events. Participation in PTA events without this waiver will be done so without PTA consent/approval.

Paper copies of this form are at the School Office.

Please input your student information below then e-sign with Parent/Legal-Guardian details below.

SUBMIT ONE FORM FOR EACH STUDENT

***NOTE THAT YOU WILL NOT SEE YOUR SUBMISSION RIGHT AWAY, SO PLEASE JUST ENTER ONCE***

Student LAST NAME
Your answer
Student FIRST NAME
Your answer
Student GRADE
THE ABOVE LISTED STUDENT will participate in all PTA sponsored events for the school year 2016 to 2017. The below e-signed parent or guardian assumes all risks in connection with the family’s participation in any and all of the PTA sponsored activities. I, the below e-signed participant, intending to be legally bound, do hereby for myself and heirs, executors, administrators and assigns, forever waive release and discharge the California State PTA, all PTA officers, employees and agents from all liability, claims or demands for any damage, loss or injury to the student, the student’s property, or parent’s property or to myself in connection with participation in these activities, unless caused by the negligence of the PTA. I do hereby certify that to the best of my (our) knowledge and belief said parties are in good health and of sound mind. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood and agreed that the undersigned will assume full responsibility for any such action, including payment of costs. I attest and verify that I am physically fit and able to participate in this event and acknowledge that I am aware of the inherent risks in participating in any athletic event. I (we) hereby advise that the above named minor has had the following allergies, medicine reactions or unusual physical condition which should be made known to a treating physician or which could limit participation (If none please type 'none'):
Your answer
E-SIGN 1: Please type your FULL NAME (Parent or Legal Guardian):
Your answer
E-SIGN 2: Please type your email address (Parent or Legal Guardian)
Your answer
E-SIGN 3: Please input today's date
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