Waiver, Release, Hold Harmless, and Indemnity Agreement for Babysitting Services offered by Non-Profit Organization by pellcity27

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									              Waiver, Release, Hold Harmless, and Indemnity Agreement
              for Babysitting Services offered by Non-Profit Organization

                                      REGISTRATION FORM
Names of Parents:_____________________________________________________
Phone Number where Parents may reached:________________________________
Allergy/medical concerns:______________________________________________
Name of Child: _____________________________________________________
Age of Child: ______________
Name of Child ____________________________________________________
Age of Child: ______________
Name of Child _____________________________________________________
Age of Child: ______________
                                     WAIVER AND RELEASE
I/we, [Name or Names of parent(s)] (the Releasor) of [Name(s) of Child or Children], hereinafter
referred to as the Chlid, whether one or more, in consideration of the babysitting services
provided by the (Name of Non-Profit Organization), hereby agree to waive and hereby waive all
claims against (Name of Non-Profit Organization), and its agents, employees, volunteers,
representatives, officers, and directors (the Releasees), for injuries or damages
								
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