If you would like your daughter to participate in this event, please complete, sign, and return this statement of
consent and release of liability. As a parent or legal guardian, you ultimately remain fully responsible for the
actions and conduct of your daughter.
I hereby consent to participation by my daughter at the Senior All Night Party. I understand that this event will take place on school grounds and that my daughter will be under the supervision of the designated school employee. I further consent to the conditions stated on the event flyer for my daughter’s participation in this event, including the method of transportation.
In consideration of my daughter being allowed to participate in this event, I agree to indemnify and hold harmless
Regina High School, any and all affiliated organizations, their employees, agents, representatives, volunteers, and
other drivers, from any and all claims, including negligence, arising from or relating to my daughter’s participation
in this event. This indemnification and hold harmless agreement does not apply to claims for intentional or gross
I authorize Regina High School to obtain necessary medical treatment for my daughter in case of illness, injury,
or accident. Allergies or medical conditions listed here will be made known to a health care provider