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My child has my permission to sign him/herself in and out at the beginning, and at the end of the After School program and
all other B.L.O.C.K. functions. I understand that Leisure Services staff will not be responsible for my child and any other children I have taken responsibility for once they sign out and separate themselves from Leisure Services staff.
In consideration of Canton Township permitting my child to participate in B.L.O.C.K. events off-site and providing transportation to and from said events, I, on behalf of myself, my child, my heirs, successors and assigns, hereby release Canton Township, its elected and appointed and officials, and its employees, volunteers, and agents, as well as the representatives of any other organization connected with this event, from any and all claims for liabilities or damages for any and all property damage or injuries which my child may suffer while taking part in any activities connected with this event. In case of injury, and I am unable to be contacted by your staff, I give my consent to have medical treatment administered to my child if deemed necessary by a physician and understand I shall be liable for any costs associated therewith.
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