Extracurriculars and Athletics Sign Up
I understand that participation in the WOM Club is voluntary and I elect to have my child(ren) participate. I understand that my child(ren) will be under the care and supervision of Willow Oak Montessori teachers and/or parent volunteers during this program.

As part of the consideration for my child’s participation in this extracurricular activity, I hereby release, hold harmless, and forever discharge Willow Oak Montessori Charter School, Inc. (“the School”), its employees, agents, and volunteers from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, property damage, or personal injury, including death, that may be sustained by me or my child or to any property belonging to me or my child while my child is participating in the program, except for damages caused by the negligence of the School, its agents and employees.

I understand that all physical activity involves some risk of injury. In the event medical care is required for my child during running club, I hereby authorize the School, its employees, and agents to provide first aid and secure medical assistance for my child. In the event of an emergency, I understand that the School will attempt to contact me using the emergency information already on file with the School, and I agree to keep that information current.

I have read and I understand this document, including the release and hold harmless portions of it. I understand and agree that it is binding on myself, my child, our heirs, assigns, and personal representatives. By inserting my name below, I acknowledge that I am the parent or guardian of the child specified below, and that I am at least 18 years of age.

Student Name *
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Parent Name: *
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Parent Email Address: *
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Student Class:
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