Laurel Adult Education Discovery Tours Registration
Event Dates: See below
Event Location: Meet in Laurel High School Parking Lot 
Contact us at (406) 628-7630 or zada_stamper@laurel.k12.mt.us
See below for costs
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Name *
Email *
Phone Number *
1st Emergency Contact Name, phone number and relationship *
2nd Emergency Contact Name, phone number and relationship
Medical problems we should be aware of:
Doctor's Name and phone #:
Check below the classes you'd like to take. *
Required
Consent Form:  I realize that this and all exercise and athletic programs involve certain inherent risks, and regardless of precautions taken by the Laurel School District and Community Education Department or participants, injuries may occur.  I agree that I have been informed of, understand and acknowledge those inherent risks.  I certify that the participant's present level of physical condition is consistent with demands of active participation in this program.  I agree to forever release, discharge, and covenant not to sue the Laurel Public Schools/Laurel Community Education for liability from any and all loss or damage, whether or not caused by negligence, either active or passive, by or on the behalf of the Laurel Public Schools/Community Education.  I will indemnify and hold the Laurel Public Schools/Laurel Community Education harmless from any and all claims made by others.  I assume all the risks and hazards incidental to conduct Laurel Public Schools/Community Education programs and I do further release, absolve, indemnify, and hold harmless the Laurel Public Schools/Laurel Community Education the organizers, sponsors, supervisors, volunteers, and officials of any or all of them.  In case of injury, I hereby waive all claims against the organizers, sponsors, staff or any of the supervisors appointed by them.  I also acknowledge that the participants may be photographed providing the opportunity for Laurel Public Schools/Laurel Community Education promotions.
Minor Medical Release and Consent Form:  So that proper emergency assistance may be provided, I hereby authorize Laurel Public Schools/Laurel Community Education and its representative in charge of my child named above to obtain all necessary medical care for my child, and I hereby authorize any licensed physician and/or medical personnel to render necessary medical treatment for my child.

Printed name: *
By checking the box below, I agree to the Consent form above.
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