Homecoming 2019- Participation Agreement
PERMISSION TO PARTICIPATE/RELEASE, 
ACKNOWLEDGEMENT OF RISK
ASSUMPTION OF PERSONAL RESPONSIBILITY AND INDEMNITY

I/We, the undersigned Parents/Guardians of the student listed below, hereby give our consent and permission for Student(s) to participate in and attend the Spirit Week Events which shall occur during the week of September 16-20, 2019. 

I/we understand that during my child’s/children’s participation in the various activities (such as Dodgeball and Powder Puff); he/she may be exposed to risk or possible injury. I/we understand that I/we assume the risk for any injuries or damages resulting from my child’s/children’s participation in these activities.

I/we have accepted responsibility to verify with my physician that my child/children has/have no physical or psychological problems that would prohibit his/her participation in the activity, and agree to advise my child/children to comply with the instructions and directions of the School District, agents, volunteers and/or employees as participants in this activity.

I/we, the undersigned Parents/Guardians, in return for my child’s/children’s opportunity to participate in the Activity do hereby exempt and release Cherry Creek School District, its directors, officers, employees, volunteers and agents, from any and all liability, claims, demands or actions whatsoever arising out of any damage, loss or injury that my child or I/we might sustain while my child is participating in the activity, whether or not such damage, loss or injury results from the acts or omissions of the Cherry Creek School District, its directors, officers, employees, volunteers or agents. I/we understand that if I/we do not sign this Release, then my child/children will not be permitted to participate in the Activity. I/we hereby represent that I am/we are 18 years of age or older, and that I am/we are the parent(s) guardian(s) of the Student.

I/we further acknowledge that no representations or promises by Cherry Creek School District representatives have been made to induce me to sign this Release. I/we the undersigned Parents/Guardians, further agree to indemnify, hold harmless and defend Cherry School District from any claim, cause of action or demand, of any sort or nature, which may at any time be filed or asserted by the Student, participation in the Activity which indemnification shall include any costs and attorneys’ fees that may be incurred as a result of any claims, causes of action or demands. This release is valid and effective whether the damage, loss or injury is a result of any act or omission on the part of the District or its agents, volunteers, or employees. I/We understand that I/we voluntarily give up my right to sue the above-mentioned parties.

I/WE ACKNOWLEDGE THAT I/WE HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF ALL LIABILITY AND A WAIVER OF ANY RIGHT THAT I/WE MAY HAVE ON BEHALF OF MYSELF AND/OR MY CHILD/CHILDREN TO BRING LEGAL ACTION OR ASSERT CLAIM FOR INJURY OR LOSS OF ANY KIND AGAINST CHERRY CREEK SCHOOL DISTRICT.  IF ANY ATTEMPT FOR CLAIM IS MADE, I/WE UNDERSTAND I/WE WILL BE RESPONSIBLE FOR ALL DEFENSE COSTS INCURRED BY CHERRY CREEK SCHOOL DISTRICT.

I/WE HAVE HAD SUFFICIENT OPPORTUNITY TO READ THE ABOVE, BEEN GIVEN THE OPPORTUNITY TO ASK QUESTIONS, CONSIDER ITS EFFECTS, UNDERSTAND THIS ENTIRE DOCUMENT AND AGREE TO BE BOUND BY ITS TERMS.

Sign in to Google to save your progress. Learn more
Email *
Student Last Name *
Student First Name *
Student grade at CCHS *
Parent Full Name *
I/WE ACKNOWLEDGE THAT I/WE HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF ALL LIABILITY AND A WAIVER OF ANY RIGHT THAT I/WE MAY HAVE ON BEHALF OF MYSELF AND/OR MY CHILD/CHILDREN TO BRING LEGAL ACTION OR ASSERT CLAIM FOR INJURY OR LOSS OF ANY KIND AGAINST CHERRY CREEK SCHOOL DISTRICT.  IF ANY ATTEMPT FOR CLAIM IS MADE, I/WE UNDERSTAND I/WE WILL BE RESPONSIBLE FOR ALL DEFENSE COSTS INCURRED BY CHERRY CREEK SCHOOL DISTRICT. I/WE HAVE HAD SUFFICIENT OPPORTUNITY TO READ THE ABOVE, BEEN GIVEN THE OPPORTUNITY TO ASK QUESTIONS, CONSIDER ITS EFFECTS, UNDERSTAND THIS ENTIRE DOCUMENT AND AGREE TO BE BOUND BY ITS TERMS. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cherry Creek School District. Report Abuse