I, ________ fully indemnify and defend Fa’atasi Youth Services, All My Usos, and affiliates any lawsuits, claims, liability, causes of action, loss injury, and/or damage of any kind (including without limitation all claims of property damage, monetary loss, personal injury, wrongful death, and or equitable relief), whether brought up by an individual or other entity.
Please type your full name.
***If under the age of 18, parent/ guardian must sign*** *