CMTA Event Liability Release Waiver Form

I do hereby release both Carrollton Music Teachers Association and Round Grove United Church and forever discharge and agree to hold harmless, the church, staff, and Association members from any and all liability, claims or demands for personal injury, sickness or death (including Covid), as well as property damage and expenses of any nature whatsoever which may be incurred while said participant is participating in a Carrollton Music Teachers Association event or CMTA member recital. This release includes myself and any other family members in attendance at Carrollton Music Teachers events located at Round Grove United Church. This waiver will remain in effect for the 2022-2023 school year, September 1, 2022 - July 31st, 2023. This waiver is required for participation in CMTA events at Round Grove United Church.
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If you agree to the above, enter your first and last name. Please note that this serves as your signature.  If you are a minor, please have your  parent/guardian sign. Parent/guardian please include student name and your name on line below.
Student Name (last name, first name)
Teacher name (last name, first name)
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