Talking Tots- Spring 2017 Registration
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Parent or Caregiver:
Child's Name and Age (months):
Tuesday 9:30 - 10:15 am
Tuesday 10:30 - 11:15 am
Wednesday 11:45 - 12:30 pm
By sending this submission, I hereby waive and release Speech Within Reach NYC, their agents, employers, and employees from any liability and/or claim for personal injury, property damage, or death to myself or my child that may arise from participation in this activity, regardless of cause, even if such cause can be associated in any way with the negligence, acts, or failures to act of Speech Within Reach NYC, or any of their agents, employers, or employees.
By sending this submission I accept total responsibility for any and all injuries or damages of any kind which may result from any reason during participation in this activity, and it is my intention to indemnify and HOLD HARMLESS Speech Within Reach NYC for any injury sustained by myself or my child, regardless of cause, while participating in this activity."
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