RELEASE AND WAIVER: Your Name (required) Your Email (required) As the parent or legal guardian of: List all children attending eNDVR/Aspire/LWM (required) who is/are (a) minor child(ren) under the the age of eighteen (18) (hereinafter "my child(ren)", and in exchange for benefits to be derived by my child(ren)'s participation in any activity sponsored by LWM Inc. eNDVR, and/or Aspire, I hereby agree, on behalf of myself and my child(ren), to the following: I hereby grant my permission for my child(ren) listed above to participate in any activity sponsored by LWM Inc, eNDVR and/or Aspire. I am fully aware of the risks and hazards connected with my child(ren)'s participation in the activities and hereby elect to allow my child(ren) to voluntarily participate in the activity, knowing that the activity could be potentially hazardous to my child(ren) or to his or her property. On behalf of myself and my child(ren), I VOLUNTARILY ASSUME ALL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY OR PERSONAL INJURY, that may be sustained by my child(ren), or any loss or damage to property owned by myself or my child(ren), as a result of my child(ren) being engaged in activities, WHETHER CAUSESED BY NEGLIGENCE OF THE ORGANIZATION OR ITS VOLUNTEERS, AGENTS, EMPLOYEES OR OTHERWISE. On behalf of myself and my child(ren), as well as our respective estates, heirs, administrators, executors, and assigns, I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE OR BRING LEGAL ACTIONS against LWN Inc, eNDVR and/or Aspire and their officers, servants, agents, employees or volunteers (hereinafter "RELEASEES") from any and all liability, claims, demands, actions and causes of actions whatsoever arising out of or related to any loss, damage, or injury that may be sustained by me, my child(ren), or to any property belonging to me or my child(ren), WHETHER CASUED BY THE NEGLIGENCE OF THE RELEASEES or otherwise, while participating in the activity. It is my express intent that this Release and Hold Harmless Agreement (hereafter "Agreement" shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above-named RELEASEES. I hereby further agree that this Agreement shall be construed in accordance with the law of the State of Montana. Name of Parent/Legal Guardian (required) Today's Date (required) USE YOUR MOUSE TO SIGN IN THE AREA BELOW: HEALTH CARE AUTHORIZATION: The undersigned hereby authorizes LWM Inc, eNDVR and/or Aspire to preform any acts which may be necessary or proper to provide emergency health care of any student in the event that the parent/guardian and/or emergency contact cannot be reached, including consent to and authorization of medical procedures by qualified, physicians, dentists, hospital or other emergency medical personnel, as they, in the exercise of their profession and in their sole discretion, may deem necessary. The undersigned understands that s(he) is responsible for all costs and expenses for such medical treatment. In signing this agreement, I acknowledge and represent that I have read and understand it; that I sign it voluntarily and for full and adequate consideration, fully intending to be bound by the same; and that I am at least eighteen (18) years of age, fully competent, and the legal guardian of all listed child(ren). Name of Parent/Legal Guardian (required) Today's Date (required) USE YOUR MOUSE TO SIGN IN THE AREA BELOW: Preferred Doctors Name (required) Preferred Doctors Phone Number (required) PERSONAL INFORMATION Parent/Legal Guardian Full Name (required) Address (required) Phone Number (required) List CHILDS NAME, DOB, ALLERGIES AND MEDICAL CONDITIONS for each child. (required) EMERGENCY CONTACT Emergency Contact Name (required) Phone Number (required) Relationship to Child (required) I understand that it is my responsibility to ensure that this information is accurate and up to date.