FOSALEC Indemnity Form StudentStudent Name(Required) First Last Email(Required) Age(Required) Under 18 Over 18 Today's Date(Required) DD slash MM slash YYYY Confirmation(Required) I hereby confirm that of my own free will, I am participating in the School and subsequent outreaches or any extended period agreed to by both parties. I also confirm that I am aware of possible risks that may lie ahead, I hereby give full indemnity for any claims of whatsoever, that may result from ministry participation and other social activities, to the organizers thereof and the School. Witness 1Witness Name(Required) First Last Confirmation(Required) I am witness to and acknowledge the indemnity confirmed by the above mentioned. Witness 2Witness 2 Name(Required) First Last Confirmation(Required) I am witness to and acknowledge the indemnity confirmed by the above mentioned. Parent/Legal GuardianNOTE: If under the age of 18, the signature of a parent or guardian is required. (Legal guardian) If parents are divorced and applicant is under 18, then both parents need to sign.Parent's Relationship(Required) Divorced Not Divorced Name of Parent(Required) First Last Confirmation(Required) I, the legal guardian, hereby agree to and acknowledge the indemnity confirmed by the above mentioned. Name of Parent 2(Required) First Last Confirmation(Required) I, the legal guardian, hereby agree to and acknowledge the indemnity confirmed by the above mentioned.
