Signature confirming acceptance

I, the undersigned parent/legal guardian, fully understand my minor's participation in this care may involve some risk including injury or illness, with losses which may result not only from my minor's own actions, inactions or negligence, but also from the actions, inactions, or negligence of others. I certify that my minor is in good health and has no medical condition preventing my minor's safe participation in this activity. I consent to emergency medical treatment in the event such care is required. In consideration for my minor's participation in the activity, I agree to forever waive all claims and causes of action against Children's Wisconsin, Inc., its affiliates, directors, officers, employees, volunteers and agents, and release from all liabilities, demands, claims, losses, costs or damages arising out of or related to my minor's participation in Children's care.

I give my child(ren) permission to participate in Art on the Plaza while checked into Sibling Care. 

I have read this waiver and release agreement and understand the terms used in it and their significance. This waiver and release is freely and voluntarily given with the understanding that right to legal recourse against Children's Wisconsin is given up in return for allowing my minor's participation in the care. My name and confirmation entered below is intended to bind myself and my successors, heirs, representatives, and assigns.

I understand that I will be allowed to pick up my minor only if I show my wristband with the number identification that matches my minor's wristband. I also understand that I may not leave my minor in this care for more than 90 minutes or leave the facility for any reason. I understand that failed attempts to reach me after 30 minutes beyond my scheduled pick-up time may cause Children's to contact appropriate authorities. I have agreed to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.