Caution: uncheck this box if you are on a public computer (i.e. Hotel, Coffee Shop)
Your Next Steps for Becoming a PHS Member
* indicates a required answer.
DISCLAIMER: PLANET HOMESCHOOL IS NOT RESPONSIBLE FOR ANY INJURY (OR LOSS OF PROPERTY) TO ANY PERSON SUFFERED WHILE ATTENDING, PARTICIPATING, PLAYING, PRACTICING, OR ANY OTHER WAY INVOLVED IN COOPERATIVE OR RECREATIONAL ACTIVITIES AT PLANET HOMESCHOOL FOR ANY REASON WHATSOEVER, INCLUDING NEGLIGENCE ON THE PART OF PLANET HOMESCHOOL, ITS BOARD MEMBERS, LEADERSHIP TEAM, TEACHERS, INSTRUCTORS, VOLUNTEERS, LANDLORD OR EMPLOYEES. PLEASE READ THIS RELEASE CAREFULLY AS IT RELATES TO YOUR LEGAL RIGHTS.
This Waiver and Release of Liability Form must be completed and signed by the parent or guardian for the enrolled student (“STUDENT”) before participation in Planet Homeschool (“COOPERATIVE”) instructional programs (“PROGRAM”). In consideration for receiving permission to enroll and participate in COOPERATIVE:
I hereby acknowledge that activities at COOPERATIVE involve risk of accidents or personal injuries and agree to release, waive, discharge and covenant NOT to sue and to hold harmless COOPERATIVE, its board members, teachers, contractors, volunteers, administrative officers, employees and any other associated personnel including owners or landlords of the premises utilized by the COOPERATIVE, of and from any and all claims, actions and damages for accidents, personal injuries, emotional distress, disabilities or death that STUDENT has or may have sustained as a result of participation in this PROGRAM.
I am aware that some COOPERATIVE classes and activities may involve cardiovascular stress and physical contact for the STUDENT. I understand that classes and activities involve certain risks for the STUDENT, including but not limited to, emotional distress, physical injuries (including severe injuries such as serious neck and spinal injuries resulting in complete or partial paralysis, brain damage, serious injury to bones, joints, muscles, and internal organs), or death. I acknowledge that STUDENT is voluntarily participating in the classes and activities with knowledge of the danger involved and the STUDENT and I hereby agree to accept any and all inherent risks of emotional distress, personal injury, or death.
The STUDENT and I are fully aware of these risks, and in consideration of the STUDENT’s participation, the STUDENT and I, on behalf of ourselves, our heirs, assigns, executor, administrator and representatives, hereby release and hold harmless COOPERATIVE, its Board members, teachers, contractors, volunteers, administrative officers, employees and any other associated personnel including owners or landlords, from any and all liability, loss, damage, costs, claims and/or causes of action, including but not limited to all bodily injuries, death, and property damage arising out of or relating to my attending and participating in the classes and activities of COOPERATIVE.
I authorize COOPERATIVE to seek emergency medical treatment for STUDENT at an available medical facility at my expense.
I agree to take full financial responsibility for any damage to COOPERATIVE facilities or equipment caused by STUDENT or myself.
I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of Minnesota and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that this agreement shall be governed by the laws of Minnesota.
I affirm that I am the parent or legal guardian of the STUDENT and I am freely signing this agreement on behalf of the STUDENT and myself. I have read this form and fully understand that by electronically signing this form I am agreeing that the STUDENT and I will abide by all rules and guidelines set forth by COOPERATIVE. I further understand that by signing this form, the STUDENT and I are giving up legal rights and/or remedies, which may be available to us against COOPERATIVE, or any of the parties listed above.
Entering your name here serves as your digital signature.
A confirmation that you've completed this form will be sent to this email address. To help volunteers connect your form to your membership, please use the same email address that you entered as your family's Primary Email in your Member Profile.