Waiver and Release of Claims and Assumption of Risk

 Haley’s Playground Inc. & Stephanie's Academy of Dance & and St. Paul Lutheran Church

Waiver and Release of Claims and Assumption of Risk

Please read this form carefully and be aware that in signing up and participating in this program/activity, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program/activity (including transportation services, when provided).

I recognize and acknowledge that there are certain risks of physical injury to participants in this program, and I voluntarily agree to assume the full risk of any injuries, damages or loss, including eye glasses and contact lenses, regardless of severity that my minor child/ward or I may sustain as a result of participating in any and all activities connected with or associated with this program/activity. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program/activity against Stephanie's Academy of Dance, Haley’s Playground Inc., or St. Paul Lutheran Church including its officials, agents, volunteers and employees.


I do hereby fully release and forever discharge Stephanie's Academy of Dance, Haley's Playground Inc., or St. Paul Lutheran Church from any and all claims for injuries, damages or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with this program/activity.

I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims.

**PARTICIPATION WILL BE DENIED-If the signature of adult participant or parent/guardian and date are not on this waiver.**

Interested in Volunteering?
Do you want to volunteer with kids with disabilities?
Do you want to make a change in your community?
Experience the difference you can make by mentoring individuals with disabilities. Feel the rewards that volunteering and giving back to your community provides. Join the staff at Haley’s Playground Inc. as we play together, live together, and work together and have fun. 

All volunteers must fill out an APPLICATION and WAIVER for Haley’s Playground Inc. prior to their initial class.

Volunteer Application