2025 5th Grade Social Participation Waiver

Participant

If you have multiple 5th grade students, please complete one waiver per child. 



Waiver

Permission to Participate and Waiver

My child may participate in the 5th grade social on Friday, May 16th from 6:00pm until 8:00pm.

 

I understand I will be dropping my child off and picking them up between 7:45pm and 8pm.

 

If any emergency medical procedure or treatment is required during this time, I consent to the supervising personnel taking, arranging for, or consenting to the procedures or treatment at his/her discretion.

 

I agree to release, indemnify, and hold harmless the Cobb County School District (District), its Board of Education, and its employees, agents, or assignees, as well as its approved adult trip supervisors (“District Indemnitees”) from and forever promise not to sue them on any and all claims, demands, rights, causes of action, liabilities, losses, damages, costs, and expenses (including reasonable attorneys’ fees), whether known or unknown, that I, any other parent or guardian of the student named below, or the student may have or may allege to have against the District Indemnitees or which may be brought against the District Indemnitees arising out of or in any manner relating to the student’s participation in the after-school activity, including but not limited to the rendering of emergency medical procedures or treatment.

 

Note: This permission form MUST be completed by the Parent/Guardian for the Student named below to participate. The "Parent First Name" and "Parent Last Name" fields will act as verification that the Parent/Guardian completed this form, that the Parent/Guardian intended to permit, electronically, their child to attend the 5/16/25 Social, and by adding phone and email, that we may verify the authenticity of this signature independently. If you are not the Parent/Guardian, please cancel this submission and do not proceed.

 

Questions? Contact the KSE PTA kingspringspta@gmail.com

 



By signing below, I confirm that I have carefully read and fully understand its contents. I am aware that this is a release of liability and signed it of my own free will.






Photos/Videos

Photos/videos will be taken on campus during this event and distributed by the photo booth company to the participants (your child) and shared on other school-affiliated sites like the KSE Facebook page.

If you DO consent, enter "YES".

If you do not consent to your child having their photo/video taken, enter "NO".