I HEREBY AUTHORIZE MY SON / DAUGHTER TO ATTEND CLASSES IN MADISON RUSSIAN SCHOOL . I UNDERSTAND THAT EVERY STUDENT MUST BE INSURED FOR MEDICAL EXPENSES ARISING FROM ACCIDENTAL INJURY THROUGHOUT A POLICY WHICH HIS / HER FAMILY CURRENTLY HAS IN FORCE AND WHICH WILL COVER HIS/HER PARTICIPATION IN THIS PROGRAM. WITH THIS AUTHORIZATION, I HEREBY RELEASE MADISON RUSSIAN SCHOOL, INC., ITS TEACHERS AND EMPLOYERS FROM ANY LIABILITY INCURRED IN THE CONDUCT OF THIS PROGRAM. THIS AUTHORIZATION WILL REMAIN IN EFFECT UNLESS TERMINATED BY PARENT OR GUARDIAN IN WRITING. *