2025-26 PTA Event Participation Waiver

This form is required for all students and their families to attend PTA-sponsored events taking place between August 1, 2025, and June 15, 2026, including events such as the First Day of School Social, LEGO Lab, Movie Night, Walk-A-Jog, and more.

 

We kindly ask that all waivers be completed by the first PTA Association Meeting on August 28, 2025.

 

Thank you for your cooperation and support!

Family Last Name (used for check-in @ PTA events & activities)

PTA Event Participants/Attendees

The undersigned parent(s) or guardian(s) assume all risks in connection with the participation of all individuals listed below in any and all of the PTA sponsored activities.

I attest and verify that all individuals listed below are physically fit and able to participate in any PTA sponsored activities. Further, I acknowledge that is it my responsibility to understand any inherent risks associated with PTA sponsored activities and communicate those risks to all individuals named below.

 

I do hereby certify that, to the best of my knowledge and belief, all individuals named below are in good health. In the event that I, or other parent/guardian, cannot be reached in an emergency, I hereby give permission to secure proper treatment for my child(ren). I/we do hereby consent to whatever x-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care are considered necessary in the best judgment of the attending physician, surgeon or dentist and performed by or under the supervision of the medical staff of the hospital or facility furnishing medical or dental services. It is further understood that the undersigned will assume full responsibility for any such action, including payment of costs.

 

I/we, as parent(s) or guardian(s) of the minor(s), do hereby, for my child/children, myself, my heirs, executors and administrators, release and forever discharge and hold harmless the California State PTA, the local PTA and all officers, directors, employees, agents and volunteers of the organizations, acting officially or otherwise, from any and all claims, demands, actions or causes of action which in any way arise from the participation of any individuals listed above in any PTA sponsored activities. 



 
      
 

 
      
 

 
      
 

 
      
 

 
      
 

 
      
 


I/we hereby advise that the above named minor(s) has/have the following allergies, medicine reactions or unusual physical conditions, which should be made known to a treating physician (If yes, put first name of child(ren) and allergy/medical condition.)




    
    

By signing electronically, you acknowledge and agree that your electronic signature is the legal equivalent of your handwritten signature. You further consent to be bound by the terms, conditions, and agreements associated with this document as if you had signed it in writing.