IAR Ramadan Babysitting Sign-up Form
Please submit one form per child
Parent's Details
Parent's Full Name *
Your answer
Cell Phone # *
Your answer
Email *
You will receive your check-in/check-out number at this email address
Your answer
Child Details
Child's Full Name *
Your answer
Age *
Babysitting is only for children 3-7 years-old
Special Notes *
Any allergies, related medical history, or other special notes. Enter "none" if there's nothing to provide.
Your answer
Emergency Contact Details
Emergency Contact Name *
Your answer
Phone Number *
Your answer
Waiver
I hereby give full permission for my child to participate in the IAR Ramadan Babysitting's 2019 Program and Activities. I understand that the well-being and safety of my child are of utmost importance to the IAR's Ramadan Babysitting Team, and I, as the listed parent / legal guardian, hereby release the IAR and any associated Ramadan Babysitting program organizers of any and all liabilities and assume full responsibility in case of any accident or injury before, during, and after the IAR Ramadan Babysitting's 2019 Programs and Activities.
I grant IAR's Ramadan Babysitting Team, organizers, staff, and staff-designated volunteers, as part of the Islamic Association of Raleigh (heretoforth referred to as "IAR"), full authority to use their judgment in obtaining and providing emergency medical care deemed necessary to protect the health and safety of the above named participant (attendee), a member of my family, at my expense. This care may include, but is not limited to, placing him/her under care of a doctor or a hospital. I hereby release, hold harmless, and indemnify IAR and its organizers or agents, either in their individual capacities or by reason of their relationship with the IAR, from all responsibility, liability, or claims of any nature whatsoever for loss, damage, or destruction of property, or injury due to any cause whatsoever to my family members attending any of the IAR Ramadan Babysitting Programs and Activities.

I, the undersigned parent / legal guardian of the participant named above, hereby understand the inherent risks of the programs' activities, and I do, hereby, absolve the IAR, all of its employees and volunteers, and all of its constituents and associates from any and all liability, actions, causes of action, claims, and demands of every kind and nature whatsoever which I now have or which may arise out of or in connection with my son, named above, participating in any of the IAR's Ramadan Babysitting's Programs and Activities. I understand that the IAR and the organizers of the IAR's Ramadan Babysitting Program and Activities will be doing their best to mind the safety and security of the participants as a top priority, inn shaa’a Allaah. I understand that after doing my part, putting my trust in Allaah, Al-Haafith (The Guardian), is the best thing I can and should do.

I acknowledge that this waiver and its terms are valid at least until I fill out the 2019 form for IAR Ramadan Babysitting Program.

Waiving Parent Full Name *
Enter Parent Full Name
Your answer
Pick-up/Drop-off
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