I, the undersigned parent / guardian assume all risks in connection with the participation of all individuals listed on this form in any and all of the PTA sponsored activities for the 2022/23 school year.  

My child/ren has my permission to participate in all PTA sponsored events for the 2022/23 school year.  I agree to accompany and supervise children in my care to help keep all students safe. I assume all risks in connection with my student’s participation in any and all of the PTA-sponsored activities. I hereby release and forever discharge the Marshall Lane PTA and California State PTA, all PTA officers, employees and agents from all liability, claims or demands for any damage, loss or injury to the student, the student’s property, or parent’s property in connection with participation in these activities, unless caused by the negligence of the PTA.

I attest and verify that to the best of my knowledge and belief all participants listed here are physically able to participate in any PTA sponsored events at Marshall Lane. Further, I acknowledge that it is my responsibility to understand any inherent risks associated with PTA sponsored activities and communicate those risks to all participants named above.  

I do hereby certify that to the best of my knowledge and belief all individuals named here are in good health.  In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood and agreed that as parent or guardian, I will assume full responsibility for any such action, including payment of costs.

I hereby certify that if my child has allergies, medicine reactions or physical condition which could potentially limit his/her participation, that I have provided this information via written statement to the PTA and understand that a parent/guardian must be present with my child at all PTA sponsored events that occur outside of school hours.

I acknowledge that there is an inherent risk of exposure to COVID-19 in any public place where people are present, particularly where there may be close contact with others. COVID-19 is an extremely contagious disease that can lead to severe illness and death. I understand I am responsible for being mindful of my actions and following the recommended health and safety protocols, which may include wearing a mask, frequently washing hands, using hand sanitizer, and practicing social distance.