Northpoint Homeschool Classes

"... And they shall be all taught of God ..."

- John 6:45


As the parent(s) and/or guardian(s) of:

__________________________________ ___________________________________

__________________________________ ___________________________________

I understand and hereby agree to assume all of the risks that may be encountered at Northpoint Homeschool Classes. This includes activities preliminary and subsequent thereto. I do hereby agree to hold Northpoint Homeschool Classes and , its employees and volunteers, harmless from any and all, liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child(ren) or property, even injury resulting in death, which I now have or which may arise in the future in connection with activity or participation in any other associated activities.

In the event of illness or injury during any related activity, and I cannot be reached, I authorize the responsible adult in charge, or their representative, to secure first aid, and/or the services of a physician or hospital and agree to assume any financial obligations incurred therewith. I agree to hold harmless Northpoint Homeschool Classes and , and the medical center and their respective employees, agents, and all others associated therewith from any liability in authorizing emergency health care for my named child(ren) in good faith under this authorization.

(Signature of Legal Guardian)

(Printed Name of Legal Guardian)


Operated by Micro Sources, Inc. dba Northpoint Homeschool Classes CEDRS© Copyright 2009