Athletic Sport Release

I, the undersigned parent/guardian of ____________________________________________, a minor, do hereby consent to my child's participation in voluntary athletic, field trip, or recreation programs of the Town or Public School of Marblehead. I also agree to forever release the Town or Public School of Marblehead, the School Committee, and all their employees, agents, board members, volunteers and any and all individuals and organizations assisting or participating in voluntary athletic, field trip, or recreation programs of the Town or Public Schools (" the Releases") from any and all claims, rights of action and causes of action that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to my child or property damage resulting from my child's participation in the Town or Public School of Marblehead voluntary athletic, field trip, or recreation programs.

I also promise, to indemnify, defend, and hold harmless the releasees against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future, directly or indirectly, arising from personal injuries to my child or property damage resulting from my child's participation in the Town or Public School of Marblehead voluntary athletic, field trip, or recreation programs.

I further affirm that I have read this Consent and Release Form and that I understand the contents of this Form. I understand that my child's participation in these programs is voluntary and that my child and I are free to choose not to participate in said programs. By signing this Form, I affirm that I have decided to allow my child to participate in the Town or Public School's athletic, field trip, or recreation programs with full knowledge that the Releasees will not be liable to anyone for personal injuries and property damage my child or I may suffer in voluntary Town or Public School athletic, field trip, or recreation programs.

____ If checked, please note that buses may not have seat belts.

Signed: ___________________________

Parent or Guardian of: _____________________________________