Liability Waiver Form
Liability Waiver
This Liability Waiver Form must be completed and signed by the parent or guardian for the enrolled student (“STUDENT”) before participation in Ann-Hua Chinese School (“SCHOOL”) instructional programs (“PROGRAM”). In consideration for receiving permission to enroll and participate in “SCHOOL”, I hereby:
1. Acknowledge, agree and represent that the undersigned enters this agreement freely and
voluntarily with all information fully disclosed by Ann-Hua Chinese School.
2. Fully understand, as parent(s) or legal guardian of the aforementioned student (s), who will
attend SCHOOL during the current academic year in the aforesaid instructional programs ("PROGRAMS"), that my child(ren)'s participation in PROGRAMS involves risk of accidents or personal injuries. Therefore, on behalf of my child(ren), my spouse/partner and myself, the undersigned has hereby agreed to release, waive, discharge and covenant NOT to sue and to hold harmless SCHOOL, its board members, teachers, contractors, volunteers, administrative officers, employees and any other associated personnel including owners or landlords of the premises utilized by the SCHOOL, of and from any and all claims, actions and damages for accidents, personal injuries, emotional distress, disabilities or death that my child or any of my family members have or may have sustained as a result of participation in this PROGRAM.
3. Further agree to take full responsibility for my child(ren) to observe, follow and obey any and
all SCHOOL rules.
4. Moreover, if necessary, the undersigned authorizes SCHOOL to seek emergency medical
treatment for my child at an available medical facility at my own expenses. In the event that the undersigned should observe or discover any unsafe personal conduct or unsafe physical condition on the premises of SCHOOL, the undersigned has agreed to report the unsafe conduct or condition to Ann-Hua Chinese School representative as soon as possible.
5. Further, permission is hereby granted by the undersigned to SCHOOL to publish photos of
my child(ren) (no names mentioned) in newsletters, website and other public relations presentations; and personal identifications of my child(ren) such as first name, last name, email address and username (where applicable) could be used for communications in all SCHOOL activities.
6. By registering for online classes, the undersigned agrees 1) to follow Ann-Hua online
technology and computer use policies and guidelines, and 2) to allow Ann-Hua to provide personal identifying information for their child(ren) such as first name, last name, email address and username (where applicable).
7. Further, the undersigned has agreed to take full financial responsibility for any damage to
SCHOOL facilities and equipment caused by my child or family members or myself. This acknowledgment of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.
