Program wavier:

I, the parent or guardian of the above named participant, give my voluntary consent to his/her participation in activities ran through Functional Therapy Incs program(s) and agree to all conditions of enrollment in the program(s). Furthermore I authorize the Functional Therapy Staff and volunteers to approve and obtain any and all medical attention in case of a medical emergency, with the understanding that reasonable attempts have been made to consult with myself beforehand in case of minor illness and/or first aid where deemed appropriate.; with the understanding that I will take responsibility for any additional expenses that may result from such services.

Furthermore, I release FUNctional Therapy Inc, its trustees, directors, corporation members, staff, agents and volunteers from any loss, personal injury, accidental misfortune or damage to the above named or his / her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the above named.. I understand that “FUNctional Therapy Inc. staff or volunteers reserve the right to dismiss a participant who is in their opinion a hazard to the safety and well-being of others, who appears to have rejected the reasonable guidelines of the activity.

Failure to disclose problems at time of application could result in dismissal.