WAIVER AND RELEASE OF LIABILITY The undersigned parents of, [insert name of child below], hereby give permission to participate in the following program/activity sponsored by the Andrew Community School District: Andrew Community Schools: After School Programs. We hereby release, waive and forever discharge Andrew Community School District, and its officers, agents, employees and representatives, from any and all claims or liability for bodily injury or death, on our behalf and on behalf of our child, arising out of our child’s participation in the above-described program/activity, including, but not limited to, claims for medical expenses, loss of services, companionship, society and lost wages. I hereby certify that I am of lawful age (18 years or older) and otherwise legally competent and authorized to sign this release and waiver. In signing this release and waiver we acknowledge reading the foregoing release and waiver and have voluntarily signed it on behalf of ourselves and our child. (Enter Child's name below) *
