I understand that my child may only participate in Bounty & Soul activities if accompanied by an adequate number of adults, no less than a ratio of one adult per three children if my child is between the age of 5 -11, or one adult per four youth if my child is age 12-16. I hereby voluntarily release Bounty & Soul, it’s officers, directors, employees, volunteers, and agents from all claims, demands, or causes of action which relate to my child’s participation in the activities or use of the equipment and facilities. I agree to pay for all medical expenses incurred and give permission to Bounty & Soul to seek medical care for my child should an emergency need arise.

The information I have given is complete and accurate. By signing this form on the date stated, I confirm that I have fully informed myself the contents of this Parental Consent and Release Form by reading it or having it read to me before I signed it. I warrant that I possess all the rights, powers and privileges of a parent or legal guardian to execute this document with binding legal effect.