K-12 Waiver and Release Form

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By signing this document, parents or legal guardians agree to the following terms. After agreeing to these terms, minors will be able to use think[box] facilities at an age appropriate level.

Please review the think[box] K-12 Polices together with your child.

https://goo.gl/17gbqA

I agree to the following:

I agree that my son/daughter is physically capable of participating in this activity. *

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I understand that I am responsible for any personal emergency travel, medical, or other costs that are incurred as a result of this participation. *

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I agree to provide the appropriate amount of supervision for the age of my son/daughter at all times as outlined in the think[box] K-12 Policies. *

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I agree that Case Western Reserve University is not responsible for my child's safety under any circumstances. *

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I give permission for my son/daughter to participate in these activities. *

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I agree that in consideration of being granted the opportunity to participate in activity and use services and facilities furnished or made available by Case Western Reserve University as well as the assistance of employees of the University, I/we do hereby waive and release Case Western Reserve University, its officers, trustees, faculty, employees, coordinators of this activity, and agents from all claims, costs, liabilities, expenses and judgments, including attorney’s fees and court costs, which may arise out of or be in any way connected with my participation in this activity. *

Please enter your initials

Minor(s) Information

First Name(s) *

Last Name(s) *

Parent or Legal Guardian Information

First Name *

Last Name *

Middle initial *

Email address *

Emergency Phone Number *

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