I confirm that all information entered is accurate to the best of my knowledge. In the event of any changes to the information entered, I understand that it is my responsibility to notify Acton Academy Kennebunkport in writing and in a timely manner.

ACKNOWLEDGEMENT OF PERSONAL LIABILITY AND WAIVER: I understand that this event may expose my child(ren) to some risks and I assume any such risk that may arise therefrom. I accept full responsibility for all medical expenses for any injuries that might occur to my child by reason of his/her participation. By signing this form, I hereby release Acton Academy Kennebunkport and it's owners, administrators, directors, officers, guides, employees, agents, assigns, and volunteers (“released parties”) from and against any and all claims, demands, actions, complaints, suits or other forms of liability that any of them may sustain. Acton Academy Kennebunkport's insurance does not cover damages arising from, or related to, the operation of any private vehicle, or any personal negligence related to this activity. Any damages/harm in relation to the above listed activity, is hereby waived. I also agree to indemnify and hold harmless the released parties from the released claims, including any and all related costs, attorney fees, liabilities, settlements, and/or judgments. ----------------------------------------------------------------------------------------BEHAVIOR: I understand that my child(ren) is/are expected to behave responsibly and to follow the school’s policies and that students who violate the school's policies may be excluded in the future by the school from participating in a trip. I further agree that, should my child(ren) fail to behave responsibly and follow the school’s policies, that I will be responsible for picking up my child(ren) from the site of the field trip. -------------------------------------------CONFIRMATION: I confirm that I have carefully read this consent and release and agree to its terms knowingly and voluntarily. I also confirm that I am the parent or legal guardian of the child(ren) or I am a student 18 years or older. I understand that I have the ability to refuse to sign this Form. If I refuse to sign, my child will not be permitted to participate in the activity. IF YOU AGREE, please sign your full name below:

I certify that I am the legal guardian of the child(ren) listed in this registration and by entering my full name below it acts as my signature.