I certify that my child is in good health and has my permission to participate in all of the clinic activities. I hereby consent for my child to receive medical treatment, which may be advisable in the event of injury, accident, and/or illness during the activities or event. I knowingly and freely assume all risks, injuries, or damages, both known and unknown, that may result from participation in the activities or event, even those arising from the negligence of the Releasees herein, and assume full responsibility for my or my child’s participation in such activities or events. I hereby release and hold harmless Dare County Schools, its officers, officials, agents, coaches, and/or employees, other participants, sponsoring agencies, and if applicable, owners and lessors of the premises used to conduct the activities or events (Releasees), from any and all injuries, disabilities, property damages, and death, which may result from participation in the clinic activities.

This is to certify that I, as a parent, guardian, or temporary guardian with legal responsibility for this participant, do consent and agree not only to his/her release of all Releasees, but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.