I am the parent, guardian or representative of the minor(s) named below and have the legal capacity and authority to act on his/her/their behalf. I sign this form and the accompanying Agreement to Waive and Release All Claims in consideration for permission by the Pacific Grove Museum of Natural History for the minor(s) to participate in the programs named below. In doing so, I agree that all of the terms of the Agreement shall apply to any claims relating to the participation of the minor(s) in the program. This includes (but is not limited to) my agreements to waive and release all claims and to indemnify and hold the Pacific Grove Museum of Natural History and its representatives harmless against any claims. I understand that the Museum will take reasonable precautions to prevent accidents, administer simple first aid for all minor injuries, and call parents and/or a doctor whenever necessary. I am aware that there are risks to participation in the program, and I voluntarily consent to the participation of the minor(s) in the program. I confirm that the minor(s) is/are in good health. I hereby give my consent to representatives of the Museum to provide all emergency medical or dental care prescribed by a duly licensed health care provider. I understand that care may be given under whatever conditions are necessary to preserve the well-being, limb or life of the minor(s). Full Name of Minor *
I am the parent, guardian or representative of the minor(s) named below and have the legal capacity and authority to act on his/her/their behalf. I sign this form and the accompanying Agreement to Waive and Release All Claims in consideration for permission by the Pacific Grove Museum of Natural History for the minor(s) to participate in the programs named below. In doing so, I agree that all of the terms of the Agreement shall apply to any claims relating to the participation of the minor(s) in the program. This includes (but is not limited to) my agreements to waive and release all claims and to indemnify and hold the Pacific Grove Museum of Natural History and its representatives harmless against any claims. I understand that the Museum will take reasonable precautions to prevent accidents, administer simple first aid for all minor injuries, and call parents and/or a doctor whenever necessary. I am aware that there are risks to participation in the program, and I voluntarily consent to the participation of the minor(s) in the program. I confirm that the minor(s) is/are in good health. I hereby give my consent to representatives of the Museum to provide all emergency medical or dental care prescribed by a duly licensed health care provider. I understand that care may be given under whatever conditions are necessary to preserve the well-being, limb or life of the minor(s). Full Name of Minor

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