* indicates a required answer.

I/we assume all risks and retain all responsibility for the child(ren) listed below while they are participating in all events of activities that are arranged by HorizonHomeschool Cooperative.  I/we do here by waive, release, absolve, indemnify and agree to hold harmless any helpers, teachers or activity arranged by the Horizon Homeschoool Cooperative during the 2014-2015 school year.

I/we assume all liability pertaining to the health and well-being of the child(ren) listed.  I/we promise not to seek remedy or recourse of any kind in a court of law against helpers, staff or any other person in whose custody I/we place the child(ren) while they are involved in these activities or events.

I/we waive, release, absolve, indemnify, and agree to hold harmless New Horizon and/or employees, agents and  assigned persons from any responsibility for injury or claims on said premises.

I/we waive, release, absolve, indemnify and agree to hold harmless New Horizon and/or employees, agents and assigned persons from any responsibility for injury or claims during activities or field trips arranged by Horizon Homeschool Cooperative.  We realize our child is our sole responsibility during such activities.

1. *

List all children that will be attending the Horizon Homeschool Cooperative.