Liability Release Form
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2HERITAGE CHRISTIAN SCHOOL OF SAN DIEGO
A California Nonprofit Religious Corporation
RELEASE AND WAIVER OF LIABILITY FORM
Heritage Vocal Music Department
Activity: choir practices, instruction, performances, travel, parties, and incidental and related
activities (hereafter “Activity”)
________________________________________________________________________
Student’s Name:
________________________________________________________________________
Parent’s/Guardian’s Name(s)
I agree to direct my son/daughter (hereafter “Student’) to cooperate and conform with the directions,
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policies, rules and instruction of the school personnel responsible for the Activity.
I am not aware of any medical condition of my Student which would render it inappropriate for him/her to
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participate in the above described Activity, and I assume the risk of any unknown medical condition my
Student may have that might be affected by the Activity.
I hereby give permission to the physician and/or health care provider selected by Heritage Christian School
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of San Diego personnel/parent/teacher/director/assistant present to render medical treatment deemed
necessary and appropriate by the physician or health care provider.
RELEASE, WAIVER OF LIABLITY, ASSUMPTION OF
THE RISK AND INDEMNITY:
As consideration for my Student being permitted to participate in the above referenced
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Activity, I, individually and as the parent or guardian of my Student, agree to forever
release, discharge and hold harmless from any legal and/or other liability and agree not to
sue Heritage Christian School of San Diego its employees, agents, representatives,
officers, directors, coordinators, staff, parents, choir director, volunteers, assigns, heirs,
next of kin, and/or estates (hereafter collectively “HCS”) arising out of any liability,
costs, fees, damages, judgments, injuries, physical or psychological, death, or personal or
real property damage resulting from participation by my Student in the above referenced
Activity whether or not such liability, costs, fees, damages, injury, or death was caused
by the negligence and/or default of HCS.
I agree to assume all risks and all liabilities to my Student connected with the above-
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described Activity.
I, individually and as parent or guardian of my Student, hereby agree to indemnify HCS
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from any and all liability, loss, costs, claims, fees, judgments or damage HCS may suffer
arising out of or related to, or on behalf, or because, of my Student, or by a third party, or
as a result of, the negligence or default of HCS.
I understand and agree that this Release and Waiver of Liability form relates and binds
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the undersigned, including family, heirs, assigns, agents, legal representatives,
administrators, trustees, estates and any other interested person(s) or entity.
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