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: ________________