For you, your family members, friends and guests to participate in any event at Heart Encounters, we are required to have a Liability Waiver on file for you, your family members, friends and guests:

If you have not already submitted this form

Please Complete and Submit
​the
Liability Waiver
Below

​This waiver does not replace the
Student Member Application for Heart Encounter Classes
    Agreement
    I understand, agree and sign this liability waiver on behalf of myself, family members, friends and guests, who participate with me, in any event at Heart Encounters.
    Accident, Injury and Liability​
    I understand and agree that by participating in any event, there is the risk of injury.  I voluntarily agree, because of my choice to participate in events provided at Heart Encounters, to assume all risks and responsibility for any such injury or accident which might occur to me, my family, members, my friends and guests during any Heart Encounters events.  I also voluntarily agree to waive my rights and the rights of my family members, friends and guests with me, to hold Fayette County Board of Education and Heart Encounters, its owners, agents teachers, volunteers, assistants, employees, guest artists, faculty members and/or students, liable for damage, loss, injury or death due to the ordinary negligence which may arise out of, or in connection with participation in any classes or activities conducted by Heart Encounters.
    Publicity Photos
    I agree to allow Heart Encounters to take pictures or photographs at events I, my family members, my friends and guests attend, and give them permission to use pictures or photographs for advertising.​
    Notice of Exemption
    I acknowledge that I have been informed that Heart Encounters is not a licensed child care facility.  I also understand that Heart Encounters is not required to be licensed by the Georgia Department of Early Care and Learning, and Heart Encounters is exempt from state license requirements.
    Event Conduct
    Heart Encounters endeavors to maintain a safe and enjoyable family atmosphere.  We expect attendees to respect leaders and school property.  Because we often have multiple classes and events in session at the same time, we ask parents to be sure children do not run in the hallways and that everyone uses quiet voices, so classes are not interrupted. We appreciate your help in keeping our school safe and secure.
    Agreement to All of the Above

    After clicking the SUBMIT button, wait a few seconds.  If you do not see a confirmation message, it means you did not complete a required item in the application. Scroll back up to the top and look for items outlined in red and complete the application. Then SUBMIT your application again.
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