1. I do hereby authorize that all of the above information is correct and that my child is fully able to participate in the routine program and does not have a contagious disease. In the event of an emergency, I hereby consent and authorize Aleph Academy/Chabad of Northern Nevada and its agents to seek medical help and provide transportation for my child if necessary, at my expense. I understand that I will be notified as soon as possible.
2. I understand that all childcare workers are mandated by law to report suspicion of child abuse or neglect.
I, the undersigned, as parent/guardian of the abovementioned child, for and in consideration of the agreement with Aleph Academy and Chabad of Northern Nevada release, acquit, discharge and hold harmless Aleph Academy and Chabad of Northern Nevada and its agents, employees, representatives, successors and assigns, for all manners of claims, demands and damages of every kind and nature whatsoever, which the undersigned my now ir in the future have against Aleph Academy/Chabad of Northern Nevada and its agents, employees, representatives, successors or assigns on account of any personal injuries, physical or mental condition, known or unknown, to the person and the treatment thereof, as successors or assigns, including but not limited to their negligence or gross negligence in executing the services above described or in any way incidental thereto. I, the undersigned, do hereby release, indemnify, and hold harmless Aleph Academy/Chabad of Northern Nevada and its affiliates, agents and subsidiaries from any and all actions or claims as a result of any injuries to my child or any other children while participating in Aleph Academy/Chabad of Northern Nevada.
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