Submission of this form indicates you have read and agree to the terms of our waiver.
Waiver/Indemnification: As parent/legal guardian of the child named herein, I hereby represent that the child
has been examined by a doctor and is physically fit to participate in HappyFeet. I understand there are
inherent risks in participating in this athletic program. I hereby accept responsibility for and agree to pay any
and all costs of medical treatment resulting from any injury suffered by my child as a result of his/her
participation in HappyFeet. I further agree to indemnify and hold harmless HappyFeet, its agents, servants,
employees and/or representatives from any and all liability, damage, cost or expense arising out of my child’s
participation, of every kind and nature, in HappyFeet events. In the event that I cannot be reached in an
emergency, I hereby give permission for care to be administered by a qualified HappyFeet staff member,
physician/staff of a hospital, or any other qualified individual to provide any medical treatment deemed
necessary for my child. HappyFeet may use photographs and/or videos of my child while participating in
HappyFeet sponsored activities.