***Quest Families: The School Board now requires everyone attending a

school event to fill out a waiver. This waiver below covers all Quest PTO
events held at the school from August 2015 to May 2016. One waiver per
student.
- Thank You, Quest PTO
PARENTS APPROVAL AND STUDENT WAIVER

***Quest Families: The School Board now requires everyone attending a

school event to fill out a waiver. This waiver below covers all Quest PTO
events held at the school from August 2015 to May 2016. One waiver per
student.
- Thank You, Quest PTO
PARENTS APPROVAL AND STUDENT WAIVER

____________________________________________________(Students Name) has

my (our) permission to participate in all Quest Elementary School Parent Teacher
Organization (Quest PTO) events held at Quest Elementary, held with approval by the
School Board of Brevard County, from August 12, 2015 through and including May 24,
2016. This covers events that may include an air filled bounce house, moonwalker,
elevated air slide, or a rock-climbing wall that exceeds a height of 9 feet and may be as
high as 25 feet high, and also activities of jumping, running, throwing balls, kicking balls,
and catching balls.

____________________________________________________(Students Name) has

my (our) permission to participate in all Quest Elementary School Parent Teacher
Organization (Quest PTO) events held at Quest Elementary, held with approval by the
School Board of Brevard County, from August 12, 2015 through and including May 24,
2016. This covers events that may include an air filled bounce house, moonwalker,
elevated air slide, or a rock-climbing wall that exceeds a height of 9 feet and may be as
high as 25 feet high, and also activities of jumping, running, throwing balls, kicking balls,
and catching balls.

The undersigned parent or guardian assumes all risk and liability in connection with the
students participation in any and all of the School Board of Brevard County sponsored
activities for the Quest PTO event. I (we) hereby release, discharge and will insure the
School Board of Brevard County, its officers, employees and agents from all liability,
claims or demands for any damage, loss or injury to the student, the students property, or
parents property in connection with participation in these activities, unless the injury or
loss was caused by the sole negligence of the School Board of Brevard County, its
employees and volunteers.

The undersigned parent or guardian assumes all risk and liability in connection with the
students participation in any and all of the School Board of Brevard County sponsored
activities for the Quest PTO event. I (we) hereby release, discharge and will insure the
School Board of Brevard County, its officers, employees and agents from all liability,
claims or demands for any damage, loss or injury to the student, the students property, or
parents property in connection with participation in these activities, unless the injury or
loss was caused by the sole negligence of the School Board of Brevard County, its
employees and volunteers.

I do hereby certify that to the best of my (our) knowledge and belief that my child is in
good health and is fully able to participate in these activities. In case of illness or accident,
permission is granted for emergency treatment to be administered. It is further understood
and agreed that the undersigned will assume full responsibility for any such action,
including payment of costs.

I do hereby certify that to the best of my (our) knowledge and belief that my child is in
good health and is fully able to participate in these activities. In case of illness or accident,
permission is granted for emergency treatment to be administered. It is further understood
and agreed that the undersigned will assume full responsibility for any such action,
including payment of costs.

I (we) hereby advise that the above named minor has had the following allergies,
medicine reactions or unusual physical condition which should be made known to a
treating physician or which could limit participation:

I (we) hereby advise that the above named minor has had the following allergies,
medicine reactions or unusual physical condition which should be made known to a
treating physician or which could limit participation:

______________________________________________________________
If none please write none.

______________________________________________________________
If none please write none.

1. _____________________________________
Parent / Guardian Signature

_____________________
Date

1. _____________________________________
Parent / Guardian Signature

_____________________
Date

_____________________________________
Print Name

_____________________
Phone

_____________________________________
Print Name

_____________________
Phone

____________________________________________________________
Address
City
State
Zip

____________________________________________________________
Address
City
State
Zip

2. _____________________________________
Parent / Guardian Signature

_____________________
Date

2. _____________________________________
Parent / Guardian Signature

_____________________
Date

_____________________________________
Print Name

_____________________
Phone

_____________________________________
Print Name

_____________________
Phone

____________________________________________________________
Address
City
State
Zip

____________________________________________________________
Address
City
State
Zip