Return this form to:
International Student Services
South Puget Sound Community College
2011 Mottman Road SW
Olympia, WA 98512-6292
Fax: (360) 596-5708
RELEASE
OF LIABILITY FORM
I, _____________________________________________,
am below the age of 18 and I acknowledge that in the event that
any harm should occur to myself, my property, or property or person
of another, hereby release and agree to hold harmless South Puget
Sound Community College District 24, and my host family from any
and all liability, actions, debts, claims, demands of every kind
and nature whatsoever, which may arise from or in connection with
my attendance in this college.
______________________________________________
__________________
Signature of Student/Date
I, _____________________________________________
(Name of Father/Mother),
being
the parent of _______________________________________ (Name of Student),
have read this Release of Liability and we understand and do hereby
agree to its terms and conditions.
______________________________________________
__________________
Signature of Father/ Date
______________________________________________
__________________
Signature of Mother/ Date
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