Daycare Release of Liability
Provider Details:
Name of Daycare Center: | [Your Company Name] |
Address: | [Your Company Address] |
Phone Number: | [Your Company Number] |
Website: | [Your Company Website] |
Child's Information:
Child's Full Name: | [Child's Full Name] |
Date of Birth: | [Child's Date of Birth] |
Parent/Guardian Details:
Parent/Guardian Name: | [Parent/Guardian Name] |
Relationship to Child: | [Parent/Guardian Relationship] |
Address: | [Parent/Guardian Address] |
Phone Number: | [Parent/Guardian Phone Number] |
Email: | [Parent/Guardian Email Address] |
Release of Liability Agreement
I, [Parent/Guardian Name], at this moment, agree to enroll my child, [Child's Full Name], in the daycare program provided by [Your Company Name]. By signing this release of liability, I acknowledge and agree to the following terms and conditions:
1. Assumption of Risk
I fully acknowledge and accept the inherent risks associated with childcare and daycare activities, including the possibility of accidents, injuries, and illnesses despite diligent supervision and hygiene measures. These risks are intrinsic to daycare operations and cannot be eliminated, regardless of the precautions taken. I understand and acknowledge that childcare providers cannot guarantee absolute safety from such incidents.
2. Supervision and Care
I at this moment acknowledge and confirm my understanding that the daycare center, known as [Your Company Name], will be providing supervision and care for my child that is deemed reasonable during the center's operating hours. I am also fully aware that it is not entirely possible, regardless of measures taken, to eradicate every potential hazard that could be associated with a childcare environment.
3. Waiver of Liability
By signing this waiver, I fully understand and voluntarily agree to release [Your Company Name], including its owners, employees, agents, and representatives, from any legal responsibilities or liabilities related to any injury or loss that my child may experience while under their care. This waiver absolves [Your Company Name] from any future claims or legal actions arising from such circumstances, regardless of negligence. I confirm that I am relinquishing all rights to seek damages or hold [Your Company Name] accountable for any unforeseen incidents during my child's enrollment.
4. Emergency Medical Treatment
Should an emergency condition arise, I hereby grant permission to [Your Company Name] to seek essential medical treatment on behalf of my child. I fully comprehend that significant attempts will be exerted to contact me or any other emergency contacts that I have provided. However, irrespective of these attempts, I willingly agree and consent to any medical treatments or procedures that are judged as necessary by qualified medical professionals to ensure the well-being and safety of my child during such emergencies.
5. Photography and Media Consent
I hereby give my permission and acknowledge the fact that photographs or videos, that include my child, may be utilized for promotional or educational events, publications, presentations, or activities that are directly associated with, and benefit, the [Your Company Name].
6. Acknowledgment of Understanding
I want to expressly affirm that I have thoroughly read and fully comprehended the terms and conditions of this release of liability agreement that is presented to me. Furthermore, I have been given sufficient opportunity to ask any inquiries or voice any uncertainties I might have had regarding this agreement. Additionally, if I deemed it necessary, I was offered the chance to seek the counsel of an independent legal professional.
7. Validity of Agreement
This release of liability that I am agreeing to, shall not only be upon me, but also on my immediate successors such as my heirs, the legal representatives in charge of my affairs, and anyone else to whom my rights and duties might be assigned.
Parent/Guardian's Signature:
[PARENT/GUARDIAN'S NAME]
[DATE]
Witness's Signature (if applicable):
[WITNESS'S NAME]
[DATE]
Please review this document carefully before signing. If you have any questions or concerns regarding the terms outlined above, please feel free to discuss them with us before signing. Thank you for entrusting us with the care and supervision of your child.
[Your Company Name] Representative's Signature:
[YOUR NAME]
[DATE]
Release of Liability Templates @ Template.net
