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Assumption of Risk and Waiver: 2022-23

In order for AXIS students to participate in the Enrich Afterschool programming, a parent/guardian must complete this form for each child.  Enrich vendors include, but are not limited to, the following:

  • Amazing Athletes
  • Artisan You
  • Cheer & Dance Connection/Webby Dance Company
  • Chessmates
  • Club Amigos
  • Karnos Kim Taekwondo
  • Kids Run Northern Colorado
  • Play-Well TEKnologies
  • Rock & Read (Colorful Minds Tutoring)
  • Science Matters

You will only need to fill out this form once per school year, per child.

Please read and complete the form below. Required fields marked with an asterisk *

On behalf of my child, I hereby acknowledge and agree that there are certain dangers, hazards, and risks inherent in the use of the equipment and the activities to be engaged in during the Activity included, but not limited to personal injuries such as scratches, bruises, sprains, but to serious injuries such as eye injuries, ear injuries, back injuries and lacerations. I further understand that AXIS cannot and does not assume responsibility for any such personal injury, death or property damage. If I had any questions or concerns regarding possible risks, I have addressed them with the activity/program or sponsor. 

 

I further acknowledge that the risks communicated by the activity/program sponsor may not be inclusive of all the possible risks associated with the AXIS ENRICH After School Activities and that the activity/program facilitator(s) may not have anticipated all the risks associated with the activities. 

 

I accept the fact that the program facilitator(s) cannot guarantee my child’s total safety since some risks in such activities are beyond their control. I fully comprehend and willingly assume the responsibilities and risks of participating in this program, as outlined in information communicated to me by the facilitator(s). 

 

I understand that if I experience an injury/illness, then it is my responsibility to inform the activity/program sponsor immediately. I hereby give my consent to have my child treated by a physician or surgeon in case of sudden illness or injury while participating in the above activity. It is understood that AXIS International Academy provides no medical insurance for such treatment and that the cost thereof will be at my expense. 

 

I and my child agree to follow all instructions and guidelines given by the facilitators, and to act in a safe and responsible manner toward all participants. 

 

I hereby waive, release, and discharge AXIS International Academy and their/its successors, heirs, assigns, directors, officers, employees, supervisors, agents, attorneys and representatives, from any and all actions, causes of action, claims, demands, losses, damages, costs, attorneys’ fees, judgments, liens or liabilities whatsoever, regarding the aforementioned activity in which I and my child have elected to voluntarily participate.