REFUNDS

THERE WILL NO REFUNDS UNDER ANY CIRCUMSTANCE. THIS INCLUDES INCLEMENT WEATHER CONDITIONS (THE CLINIC WILL BE HELD INDOORS IN THE EVENT OF INCLEMENT WEATHER) OR ILLNESS. IF FOR SOME REASON YOUR CHILD CANNOT PARTICIPATE IN THE CLINIC, A CREDIT IN THE PAID AMOUNT WILL BE GIVEN FOR FUTURE FIVE STAR HEART PROJECT RELATED ACTIVITIES.

ACKNOWLEDGEMENT AND CONSENT

I ACKNOWLEDGE THAT THE FIVE STAR HEART PROJECT MAY COMPILE AND USE THE NAME, LIKENESS, RECORDED VOICE, PHOTOGRAPHS, FILM AND VIDEOS OF THE NAMED PARTICIPANT IN ADVERTISING AND MARKETING USE, WITHOUT COMPENSATION AND WITHOUT RESTRICTION AS TO DURATION, GEOGRAPHY, MEDIA, OR FREQUENCY. I CONSENT TO SUCH USES AND HEREBY WAIVE ALL RIGHTS TO COMPENSATION.

PARENT AUTHORIZATION AND GENERAL RELEASE FROM LIABILITY

I AM REGISTERING FOR MYSELF OR ON BEHALF OF MY CHILD AND I AM AT LEAST 18 YEARS OLD, LEGALLY COMPETENT, AND I UNDERSTAND AND AGREE THAT THE TERMS BELOW ARE CONTRACTUAL. MY INTENT OF AGREEING TO THESE TERMS IS TO ACKNOWLEDGE AND ASSUME THE RISKS INVOLVED IN THIS UNDERTAKING AND TO RELEASE THE FIVE STAR HEART PROJECT, ITS AGENTS AND ASSIGNS, FROM ANY LIABILITY NOT CAUSED BY ITS DIRECT AND WILLFUL NEGLIGENCE WITH RESPECT TO MY INVOLVEMENT, INJURY OR DEATH IN THIS ACTIVITY. I APPROVE OF MY CHILD’S ATTENDANCE AT THIS ACTIVITY AND CERTIFY THAT HE/SHE IS IN GOOD HEALTH AND IS FIT TO PARTICIPATE. I UNDERSTAND THAT THERE ARE INHERENT RISKS IN THIS ACTIVITY, WHICH HAVE BEEN CONSIDERED AND WHICH THE PARTICIPANT ASSUMES. PARTICIPANT HAS MEDICAL INSURANCE. I AGREE TO HOLD HARMLESS THE FIVE STAR HEART PROJECT AND THEIR AGENTS FROM CLAIMS OR DAMAGES DUE TO INJURY TO PERSON OR PROPERTY ARISING FROM MY CHILD’S PARTICIPATION IN THIS CLINIC. I CONSENT TO EMERGENCY TREATMENT FOR MY CHILD, IF IN THE JUDGEMENT OF THE FIVE STAR HEART PROJECT, IT IS REQUIRED.