Registration 3 | T.OT Fine Motor Camp

T.OT CAMP LIABILITY WAIVER

Child's First & Last Name

Parent's First & Last Name

Child's Birth Date

I understand, acknowledge, and agree that I knowingly and freely assume any and all risks while my child is attending the T.OT Fine Motor & Sensorimotor Camp at 161 Fashion Lane, #203, Tustin, CA 92780.

Yes

Please specify anything we should know about (e.g. physical limitations, doctor's restrictions, allergies):

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program. View terms of use, liability waiver, sick policy, and refund policy.