By checking this box, I, on my own behalf or behalf of my Child, hereby release Brooks Studios, Creative Smash & Georgia Chung Do Kwan and its directors, agents, employees, subsidiaries, successors, and owners, and any other people officially connected with this Program (the “released parties”) from any and all liability for damage to or loss of personal property, illness, or personal injury affiliated with Brooks Studios, Creative Smash & Georgia Chung Do Kwan. I understand that by checking the box above, I am releasing any and all causes of action that I or the above-named student, or our heirs, executors or assigns have had, have, or may have involving the released parties. I acknowledge that Brooks Studios cannot dispense, monitor, or maintain medication, and I specifically release the released parties from any and all liability resulting from action taken in the event of a medical emergency. I recognize that it is my responsibility to disclose to the Teacher/ Director any condition, including but not limited to illness, injury, chronic condition, disability or special need that may influence the above-named student’s participation. I further authorize the use or disclosure of personally identifiable health information for the above-named student should emergency treatment for illness or injury become necessary. I understand that the membership at Brooks Studios is entirely voluntary and that the above-named student may be removed from classes at the sole discretion of the Teacher/ Director in accordance with their policies.
