1 SC - Camp After School Liability Release

Medical Information/Release

If there is a need for emergency medical treatment, 911 will be called. Should an ambulance be needed, parents will be
responsible for any costs. Parents will be contacted as soon as possible after contacting 911. Drop -N- Play LLC, employees
do not administer medications under any circumstances. I agree that Drop-N-Play LLC, may authorize a physician of their
choice to provide emergency care in the event neither I nor our family physician can be reached immediately. I certify my
child is in excellent health and physical condition and has no medical, psychological, or mental condition which has not
been disclosed to Drop –N- Play LLC, on the registration form.

Release of Liability

I, on behalf of myself, my spouse, and each child designated on the registration form (my “child”), hereby waive and
release all rights, causes of action and claims against Drop –N- Play, its Officers, Directors, Agents, and Employees, for any
loss, expense, damage or injury suffered by my child during the time my child is visiting Drop –N- Play, including the possible
negligence of Drop –N- Play LLC, but excluding gross negligence and intentional misconduct. For good and valuable
consideration including but not limited to benefits realized from the utilizing Drop –N- Play as a drop-in center for my
child/children for $10.00 and other valuable consideration. I understand that the provision of child care contains risk of
injury to persons and damage to property, and that by signing this release I engage Drop –N- Play LLC, to provide
temporary childcare for my children at my own risk. I further understand that there is an assumption of risk associated with
the use of the center. I have been given an opportunity to inspect the premises of Drop –N- Play LLC, and found that it is
safe and satisfactory for my child. I also have been given the opportunity to ask questions and obtain answers to my
satisfaction regarding any and all aspects of Drop –N- Play LLC, and this Release. I have received a copy of Drop –N- Play’s
Guidelines. By signing this Release, I have not relied on any promises or statements made by Drop –N- Play LLC, or its
employees other than those contained in written information (Guidelines) supplied to me by Drop –N- Play LLC. I understand
this Release will be kept on file at Drop -N- Play and will continue in effect for this and any future visits my child may make to
Drop -N- Play.

I, the undersigned, do hereby state that I have read the above carefully, fully understand the content and consequences of
this agreement, and agree to abide by and be bound by the above policies and procedures and release.