(if applicable)
(if applicable)

Emergency Contact Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Payment

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*Release for Liability and Disclaimer Waiver
This agreement releases Girl with Grit Program and its affiliated parties from all liability relating to injuries that may occur at any location at any class, workshop, or event. By checking the box below, I agree to hold Girl with Grit Program and its affiliated parties entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries or contraction of illness are caused by negligence. I swear that I am participating voluntarily, and that all risk has been made clear to me.

By checking above, I forfeit all right to bring a suit againstGirl with Grit Program and its affiliated parties for any reason, in return, myself or my child will receive participation in the Girl with Grit Program. I will ask for clarification when needed.