Read and sign YOUR full name below. *
Please be aware that the school nurse will not be around after regular school hours. It is very important that parents provide information about your child’s food allergy and medication to the Muraco After School Program (MASP) teacher(s) before the program starts. By signing your name below, you agree to the following: Your child (name referenced above), has your permission to participate in the Muraco After School Program(s) referenced above. You understand that this may involve physical activity, and you freely accept all risk of personal injury, and personally release the Muraco Elementary School, Town of Winchester, the Muraco Elementary School Parents Association, the program leader(s), their members, employees, agents, representatives and those governmental agencies and other organizations affiliated with this program, from any and all liability, loss, damage, costs, claims and/or other causes of action, including but not limited to, all bodily injuries and property damage arising out of participation in the Muraco After School Program(s) referred to above, it being specifically understood that said program(s) may involve physical activity by the above-referenced minor.