I recognize and acknowledge that there are certain risks of physical injury to participants, and I agree to assume the full risk of physical injury, damages or loss regardless of the severity which my child may sustain as a result of participating in any and all activities connected with this program.

I agree to waive and relinquish all current and unknown future claims my child may have against Fordham Preparatory School and its officers, trustees, agents, employees and volunteers as a result of participation in this program.

I do hereby fully release and discharge Fordham Preparatory School and its officers, trustees, agents, employees and volunteers from any and all claims from injury, damage or loss arising from the activities of the program.

I further agree to indemnify and defend Fordham Preparatory School and its officers, trustees, agents, employees and volunteers against and hold them harmless from any claims resulting from injuries, damages and losses sustained by my child arising out of connected with or in anyway associated with the activities of the program.

I have read and fully understand the above Release of Liability.

In the event of any emergency, I authorize Fordham Preparatory School to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for my child's immediate care, and I agree that I will be responsible for the payment of any and all medical services rendered. I authorize the release of the medical information contained in this form. I understand that this authorization includes transportation of my child by ambulance, if necessary, to the nearest medical treatment facility or hospital if I am unable to be reached first.