(MFCC)   WAIVER FORM

I, the undersigned, certify that I am an adult (I am not less than 18 years of age) and I am the parent / legal guardian of the child / participant to be enrolled in the MFCC and I agree to the following:

 By enrolling the above member / participant with the MFCC, I certify  that such individual / participant is in good physical and mental condition and is able to participate in all of the MFCC activities and said individual / participant has been examined by a licensed medical physician within one (1) year prior to enrolling or  attending the MFCC. Said medical examination did not reveal any medical or physical condition that would prevent the child / participant from participating in any of the MFCC activities.

  I agree to and will hold harmless the MFCC, its shareholders, directors, officers, agents, employees, representatives, independent contractors, the owners of the property or real estate and the school where any activity is held,  from any liability whatsoever and from any damages, losses, costs, medical expenses and from any other expenses.  I agree to hold harmless each of them and I agree to release them from any liability in whole or in part for any accidents, illness, or injuries whether or not resulting in medical or dental expenses incurred from participation in this facility programs. I hereby release each of them from and against any and all damages, claims, costs, liabilities and injuries incurred while participating in any and all of the activities of the MFCC.

 I agree to assume full and complete responsibility for any and all medical bills arising from said member’s participation. 

In the event of any injury or emergency, I authorize the MFCC to exercise its judgment in treatment of said participant by any medical authority. I also give the MFCC my permission to dispense any prescription medication to my child that he/she may bring to the center, as well as use any photos of my child for promotional purpose.

 Parent Permit:

The law requires that parental permission be obtained for operative procedures on minors. The following consent form should be signed by the parent so that such procedures may be promptly carried out, and so that no unnecessary delays will occur with operative procedures. However, no operation will be performed, except emergency, without parents being contacted and fully informed.