The child listed has my permission to attend the WILLIAMS CENTER at Crossover for instruction and to use its facilities. I confirm that he/she is in good health. The WILLIAMS CENTER at Crossover, may call a doctor or the person listed as emergency contact in the event of an emergency if I cannot be reached. I also give the WILLIAMS CENTER at Crossover its owners, directors, officers, and agents permission to obtain emergency treatment for my child if it is needed, and I cannot be reached. I have been informed by the WILLIAMS CENTER at Crossover, via this release form, and I fully understand that any activity involving motion or height necessarily including the activities for which my child is enrolled, create the possibility of serious injury or death from landing or falling on the head or neck. I fully assume this risk on behalf of my child and myself. I acknowledge that this risk can be significantly reduced by properly following the WILLIAMS CENTER guidelines as they are listed in the WILLIAMS CENTER at Crossover brochure. I agree to read and discuss those guidelines with my child. In consideration for the services received and the risks assumed by me on my own behalf and that of my child, the WILLIAMS CENTER at Crossover and its owners, directors, officers, officers, agents, employees, contractors, instructors, attendants, and assigns are fully and absolutely released and discharged from all claims for injury, disability, disease, damage, loss and expense (past, present, and future) arising out of or connected in any manner with any accident or injury sustained by my said child and his or her heirs, executors, assigns, and representatives, while said child is engaged in any activity directed, sponsored, conducted, or maintained at or by the WILLIAMS CENTER at Crossover, it's owners, directors, officers, agents, employees, instructors, attendants, and assigns. This release is executed of my own free will as consideration for access to the services, facilities and equipment of the WILLIAMS CENTER at Crossover.
I fully understand everything contained in this release and agree.