Health and Liability Release Form
All students and their guardians must fill out this form, in order to participate in theatre arts camp.
Sign in to Google to save your progress. Learn more
Email *
Student's Last Name, Students First Name *
Guardians Last Name, Guardian's First Name *
Does your student have any dietary restrictions?  We will provide mostly fruit and water as snacks.
Does your student have any physical or emotional accommodations that we need to be aware of.
Does your student have any medications that need to be taken during the mornings/lunch?
Medical insurance information.  Policy #.  Group #.  Feel free also to photograph and send to Mr. Stephens' email.  mstephens@princetonisd.net
I waive all claims against any of the Released Parties for any injuries, damages, losses or claims,whether known and unknown, which arise during or result from my or my student's participation in the activity, regardless of whether or not caused in whole or part by the negligence or other fault of any of the released parties. I release and forever discharge the released parties from all such claims.  Please type your full name below to release Princeton ISD and its camp workers from liabilities.
I agree to indemnify and hold the Released Parties harmless from all losses, liabilities, damages,costs or expenses (including but not limited to reasonable attorneys' fees and other litigation costs and expenses) incurred by any of the Released Parties as a result of any claims or suits that I (or anyone claiming by, under or through me) may bring against any of the Released Parties to recover any losses,liabilities, costs, damages, or expenses which arise during or result from my participation in the Activity,regardless of whether or not caused in whole or part by the negligence or other fault of any of the Released Parties.   Please type your full name below to release Princeton ISD and its camp workers from liabilities.
I have carefully read and reviewed this Waiver, Release And Hold Harmless Agreement. I understand it fully and I execute it voluntarily.  Please type your full name below to release Princeton ISD and its camp workers from liabilities.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Princeton Independent School District. Report Abuse