Thank you for taking the time to fill it out.
-Your friends at Action Potential Lab
**Your child will not be permitted to be picked up by someone who is not on this list. Should there be a change to this list, you must inform Action Potential Lab by email or telephone beforehand. **
I give permission for staff of Action Potential LTD to use his/her best judgment in obtaining the necessary medical care for my child if required. I understand that in the case of such a medical event, illness or injury, I will be notified as soon as possible.
Action Potential LTD reserves the right to use pictures or videos and materials of students and their projects for advertising or promotional purposes. If you do not want your child, yourself, or family member to be photographed, please let us know.
I understand that all of the information above is to be kept on file for the safety of my child and for the purpose of Action Potential LTD. I am aware that this information will never be shared outside of Action Potential LTD.
I hereby release Action Potential LTD, its owners and operators from all liability and all claims for damages relating to any loss, accident, injury, including death, that may be sustained by my child while in or upon the premises or any premises under the control and supervision of Action Potential LTD. I will not make claim against, sue or attach the property of Action Potential LTD, its owners and operators.