G.N. SIKH WINTER CAMP 2023 - REGISTRATION FORM

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Student's Name
Do you attend any educational program at Guru Nanak Sikh Gurudwara or Schools
Allergies if any (like penicillin, bees, nuts, etc.)


Each of the undersigned parent(s) or legal guardian(s) of the minor child or persons names below states as follows:

I, the undersigned will not hold GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION, or any of the directors, employees, instructors or volunteer staff responsible for any accidents and/or injuries which may occur to myself, or any person to whom I am a legal guardian of. This includes any activity, curricular and/or extra curricular held under the responsibility of GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION.

I want myself or children to participate in the sponsored lessons, practices, games, exhibitions, tournaments, competitions and other events (the "Activities"), and so I freely accept and fully assume all such risks. I give my unequivocal permission and consent for myself or children to participate in the Activities, subject only to any specific limitations noted below.

In consideration of the Society allowing myself and my children to participate in the Activities, I hereby agree as follows:

1. TO WAIVE ANY AND ALL CLAIMS that I or my child have or may in the future have against GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION, and its directors, officers, employees, agents, affiliates, successor, and assigns and representatives (the "Releases") resulting from myself or children's participation in the Activities.

2. TO RELEASE THE RELEASES from any and all liability for any loss, damage, injury or expense that myself or children may suffer as a result of the Activities, due to any cause, INCLUDING NEGLIGENCE BY THE RELEASES.

3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASES from any and all liability for any property damage or personal injury to any third party, resulting from myself or children's participation in the Activities.

4. That this Agreement shall be effective and binding upon me, my heirs, next of kin, executors, administrators, legal representatives and assigns.

5. If I cannot be reached, I authorize and direct any adult Activities sponsor or group leader representing GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION, to make emergency medical decisions for my child.

6. GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION, is authorized to make any media release (i.e. social media, print media) of myself and my child.

Medical Conditions: I authorize the Society to disclose such allergies or medical conditions to a physician if me or my children require emergency medical care.
I understand and accept the terms of this form, and have willingly signed it as my own feet act. (copy)
Registration Fee:
Donation (optional)
$0.00