Parent / Legal Guardian Consent Form and Liability Waiver

Parent / Legal Guardian Consent Form and Liability Waiver
COA (Community Outreach Alliance) is a non-profit organization in San Clemente. Our Goal and mission is to offer fun and healthy activities to our community that has been deeply affected by the drug and addiction epidemic.
Event Attending *
Participants Name *

First Name Last Name
Date of Birth *

Month Day Year
Date Date Picker Icon
Parent / Guardian Name *

First Name Last Name

Address

Emergency Phone Number *

Area Code Phone Number
Date Completed *

Month Day Year
Date Date Picker Icon
Please Tick to Agree *

I, grant my permission for my child* to being permitted by 'Community Outreach Alliance' to participate in its activities and to use its equipment's and facilities. I further agree to indemnify and hold harmless 'Community Outreach Alliance' from any and all claims which are brought by, or on behalf of my child, and which are in any way connected with such use or participation by my child.
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