PLEASE COPY AND INSERT NAMES IN THE ANSWERS PROVIDED: I/We (PARENTS NAMES) in return for my child's opportunity to participate in the 2021 Highlands Ranch High School Activity do hereby exempt and release the Douglas County School District, its directors, officers, employees, 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 2021 Highlands Ranch High School Activity, whether or not such damage, loss or injury results from the negligence of Douglas County School District, its directors, officers, employees, volunteers or agents or any defective equipment. I/we understand that if I/we do not sign this release, then my child will not be permitted to participate in the 2021 Highlands Ranch High School 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)/guardians(s) of (INSERT CHILD'S NAME). I/we further acknowledge that no representation or promises by Douglas County School District representatives have been made to induce me to sign this release. ESIGNATURE: STUDENT__________________________________DATE____________________ ESIGNATURE: PARENT________________________________DATE________________________ ACTIVITIES INSURANCE WAIVER: I fully understand the Douglas County School District Re.1 does not provide health or life insurance coverage for the above named student while he/she is participating in activities. I/We further understand that it is my/our responsibility to provide adequate insurance coverage to the above named student. ESIGNATURE: PARENT___________________________DATE: ______________ *
