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Release and Medical Consent
Agreement:
Although
we will provide the utmost quality of care and supervision to insure
the facility and equipment used is of the highest standards, accidents can
happen when performing any athletic endeavor. I,
as parent or legal guardian of child (Enrollee) in consideration
of enrollment in The Personal Enrichment Program (P.E.P.), hereby
voluntarily and knowingly execute this release with the express
intention to hold harmless P.E.P., Inc., its officers, employees,
agents, and affiliates from any and all claims, actions, demands
or rights to any and all monetary judgment whatsoever arising from
any and all injury or physical harm which may occur to the Enrollee,
especially relating directly or indirectly to any act or omission
of perceived negligence resulting in injury or loss of life when
participating in any activities associated with P.E.P., regardless
of predisposed medical conditions. In the event of an emergency,
I give P.E.P. and its staff the
right to provide emergency medical care at their discretion in
case the legal guardian or I the parent cannot be contacted. P.E.P.
reserves the right to use the enrollee's image or likeness in
future company related promotional materials. I
have read, understand, and expressly agree to the above statements.
By the execution hereof I do further bind myself, my child or
legal ward and all heirs, executioners, administrators, or assigns
of the same. I
give permission for my
"enrollee" to participate
in the Personal Enrichment Program (P.E.P.).
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Schedule/instructor
subject to change. |
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Enrollment is on a first come- first
serve basis. Register your child early to guarantee a space. |
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Costs
include a $25 non-refundable registration fee. All requests for
refunds must be submitted prior to the start of the second week of
the session. P.E.P. has no affiliation with Paul Revere Charter M.S. and may refuse service to any individual for any reason. |
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P.E.P.
is a nonprofit, tax-exempt organization under the provisions of
Chapter 501(c)3 of the Internal Revenue Code. P.E.P.,
Paul Revere Middle School,
1450 Allenford Avenue, Los Angeles, CA 90049 |
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