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Step 1 of 3

  • I, the undersigned parent or legal guardian grant permission for my child or ward to participate in the XABop program.

    I understand, acknowledge, and agree that: XABop will provide for reasonable supervision of students within its care and control.

    While XABop has taken appropriate action to ensure that this activity is conducted in reasonable safe conditions, there are certain risks inherent. XABop does not carry coverage for student accident insurance. I understand that if my child should be injured, I will be responsible for medical expenses. I further understand that an employee or volunteer has no personal liability unless he or she has acted recklessly, or intentionally to injure my child.

    If your child needs special medial supplies, i.e., an inhaler, diabetic equipment or an Epi-pen, IT IS THE PARENT'S RESPONSIBILITY to provide this equipment to the XABop instructor if you have not already done so.

    Knowing the dangers, hazards and risks of such activities, and in consideration of being permitted to participate in the activity, I agree to assume all the risks and responsibilities surrounding my child's participation in the activity.

    I understand and agree that XABop may not have medical personnel available at the location of the activity. I understand and agree that XABop is granted permission to authorize emergency medical treatment, if necessary. I understand and agree that XABop assumes no responsibility of any injure or damage that might arise out of or in connection with such authorized emergency medical treatment.
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