аЯрЁБс>ўџ 8:ўџџџ7џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС` љПjbjb§§ ",dŸdŸ- џџџџџџˆЪЪЪЪЪЪЪ<@Ј $`lЬЬЬЬЇЇ œC Pз й й й й й й ,Ь RЪ ]Ъ“ ЇЇ“ “  з ЪЪЬЬлb з з з “ .ЪЬЪЬз з ођЪЪЪЪ“ з з з ЪЪз T й ыУС з з x 0Ј з шз шз з ЪPlease complete this form by tabbing through the fillable fields. PLEASE NOTE the first field is in the first line; and your typed name is your electronic signature. MINUTEMAN REGIONAL HIGH SCHOOL RELEASE FORM This form grants permission for herein named  FORMTEXT       to participate in the after school course being offered by the Minuteman Regional High School. It is our understanding that only properly trained and certified personnel will be used for instruction. We, on our own behalf, and on behalf of the above named student, hereby agree to hold harmless and indemnify the Minuteman Regional Vocational Technical School District, its School Committee, teachers, employees and all other authorized representatives, from any and all damages arising from personal injury suffered by the above named student during the course of said instruction. We the undersigned understand that in case of injury, the school is responsible only for immediate first aid. The school does not assume any liability for expenses, medical or otherwise, incurred as a result of participation in this program. We understand that safety is the prime concern and safety regulations must be observed by the above named student. Should the above named student be severely injured and need transportation to a nearby hospital, we, the undersigned, understand that we shall be responsible for any and all expenses incurred. In consideration of the above named individual being permitted to participate in this program, we, on our own behalf and on behalf of the above named student, waive any right under any claim that may arise as a result of, or in any way connected with, the course of instruction.  FORMTEXT        FORMTEXT       Signature of Parent(s) or Guardian(s) Date  FORMTEXT        FORMTEXT       Signature of Student Date - EMERGENCY INFORMATION - Date:  FORMTEXT       Student Name  FORMTEXT       Home Phone  FORMTEXT       Address  FORMTEXT       Town  FORMTEXT       Zip  FORMTEXT       Emergency Contact  FORMTEXT       Address  FORMTEXT       Town  FORMTEXT       Zip  FORMTEXT       Telephone (home)  FORMTEXT       Work  FORMTEXT       Class enrolled in Cycle 1  FORMTEXT       Class enrolled in Cycle 2  FORMTEXT       PLEASE FILL OUT THIS FORM, SAVE IT AND EMAIL IT TO:  HYPERLINK "mailto:afterschool@minuteman.org" afterschool@minuteman.org OR PRINT IT AND FAX IT TO: Minuteman Regional HS Attention: After School Program Fax # 781.861.7250 OR BRING IT WITH YOU TO YOUR FIRST CLASS AND GIVE IT TO YOUR TEACHER Їдє   рі  ™  N М ! 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