I agree and consent to the following:

I am voluntarily enrolling my child in this program conducted by IASC.

I recognize that the program requires/may require physical exertion at times
and may cause physical injury and I am fully aware of the risks and hazards involved. I
understand that it is my responsibility to consult with a physician prior to and regarding
my child's participation.

I represent and warrant that my child has no medical condition that would prevent his/her
participation in the program. I agree to assume full responsibility for any risks, physical
and mental injuries or damage known or unknown which my child might incur as a result of
participating in the program.

I knowingly, voluntarily and expressly waive any claim I may have against IASC, its
Executive Board members and volunteers, for injury or damages that my child may sustain as a
result of participating in the program. I, my heirs or representatives forever release
waive, discharge and covenant not to sue IASC, The Executive Board members or
other volunteers, for any injury or death caused by their negligence or other acts.

I have read the above waiver and release of liability and fully understand its contents.

I voluntarily agree to the terms and conditions stated above.

Responding to this form binds you legally to the terms of the waiver.

Thank you
IASC Executive Board