PERMISSION FORM

The Chattanooga/Southeast Tennessee Home Education Association (CSTHEA) invites

______(NAME)

to participate in

______(ACTIVITY)

The above activity is a planned, supervised program of our organization. It will be conducted in a safe, orderly manner to the best of our knowledge and abilities. However, CSTHEA nor anyone serving as a representative of CSTHEA accepts or otherwise implies liability for anyone attending or taking part in the above activity. CSTHEA retains the right to decline or discontinue anyone’s participation in this event at any time and at CSTHEA’s sole discretion.

We assure you that normal precautions will be taken to ensure the safety of everyone that participates. You and/or your child must, however, come at your own risk, and you, individually and/or as a parent or guardian of a minor attending the activity, assume all risks on behalf of yourself and the child and release, shall indemnify, defend, and hold harmless CSTHEA and its representatives from all liability to the fullest extent permissible by law.

The undersigned understands and agrees that in case of emergency the undersigned authorizes any medical treatment necessary for the health and safety of the undersigned or the undersigned’s child. Any unmarried person under the age of 21 must have a parent or guardian sign.

The undersigned understands the above conditions, is over 21 years of age, and does hereby agree to the terms and conditions hereof, on behalf of the undersigned or the undersigned’s child.

Signed: ______Date: ______(Person attending or parent or guardian)

Medications: ______

PERMISSION FORM

The Chattanooga/Southeast Tennessee Home Education Association (CSTHEA) invites

______(NAME)

to participate in

______(ACTIVITY)

The above activity is a planned, supervised program of our organization. It will be conducted in a safe, orderly manner to the best of our knowledge and abilities. However, CSTHEA nor anyone serving as a representative of CSTHEA accepts or otherwise implies liability for anyone attending or taking part in the above activity. CSTHEA retains the right to decline or discontinue anyone’s participation in this event at any time and at CSTHEA’s sole discretion.

We assure you that normal precautions will be taken to ensure the safety of everyone that participates. You and/or your child must, however, come at your own risk, and you, individually and/or as a parent or guardian of a minor attending the activity, assume all risks on behalf of yourself and the child and release, shall indemnify, defend, and hold harmless CSTHEA and its representatives from all liability to the fullest extent permissible by law.

The undersigned understands and agrees that in case of emergency the undersigned authorizes any medical treatment necessary for the health and safety of the undersigned or the undersigned’s child. Any unmarried person under the age of 21 must have a parent or guardian sign.

The undersigned understands the above conditions, is over 21 years of age, and does hereby agree to the terms and conditions hereof, on behalf of the undersigned or the undersigned’s child.

Signed: ______Date: ______(Person attending or parent or guardian)

Medications: ______