Consent Form

THE SABIS INTERNATIONAL CHARTER SCHOOL ®

160 Joan Street Springfield, MA 01129 Tel: (413) 783-2600 Fax: (413) 783-2555

Email: [email protected]

CONSENT AND RELEASE I, _________________________, parent/legal guardian of ________________________, a minor, do NAME

CHILD’S NAME

hereby consent to my child’s participation in any and all voluntary extra-curricular and/or athletic programs of the SABIS® International Charter School. I also agree to forever release the SABIS® International Charter School, its Board of Trustees, and all employees, agents, members, volunteers and any and all individuals and organizations assisting or participating in voluntary extra-curricular and/or athletic programs of the SABIS® International Charter School (hereinafter, SABIS® ) from any and all claims, rights of action and causes of action that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to my child or property damage resulting from my child’s participation in SABIS® voluntary extra-curricular and/or athletic programs. I also promise to indemnify, defend, and hold SABIS® harmless against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the present or future, directly or indirectly, arising from personal injuries to my child or property damage resulting from my child’s participation in SABIS® voluntary extra-curricular and/or athletic programs I further affirm that I have read this Consent and Release form and that I understand its contents. I understand that my child’s participation in these programs is voluntary and that my child and I are free to choose not to participate in these programs. By signing this form, I have decided to allow my child to participate in SABIS® extra-curricular and/or athletic programs with full knowledge that SABIS®will not be liable to anyone, including my child and me, for personal injuries and property damage my child or I may suffer related in any way to participation in these programs.

Signed this ________________________day of _____________________, 200__________. (day)

___________________________________ WITNESS

busses

(month)

(year)

____________________________________ PARENT/LEGAL GUARDIAN