FOOTPRINTS AFTER SCHOOL
 CARE CENTRE

INDEMNITY FORM

 

 

MILKWOOD PRIMARY  FOOTPRINTS AFTER SCHOOL CARE CENTRE INDEMNITY FORM 2019

 

I , _____________________________________________________ parent or guardian of 

_______________________________ learner's name, in Gr. ____ hereby indemnify the

 

Management and staff of Milkwood Primary Aftercare - Footprints against any responsibility for any injuries which may occur on the premises, or while transported/from activities to/from after care, and will not hold Milkwood Primary After care Footprints responsible for any medical costs incurred.

 

Nevertheless, Footprints will do everything possible to ensure the safety of my child.

 

Signature of Mother:  _________________________  Date:  _________________

 

 

Signature of Father:  __________________________  Date:  _________________

 

 

Signature of Guardian:  ________________________  Date:  ________________