I/we, the undersigned, hereby grant permission for (child's name) to participate in th eSignal Mountain Xtras (SMX) program. I/we do
release from any and all liablility and hereby hold harmless, the Hamilton County Board of Education all school personnel, Mountain
Education Foundation, Inc. (MEF)/ Signal Mountatin Extras, LLC (SMX) staff, volunteers and affiliaties for personal injury, property or
any other losss that may occur as a result from this activity. In the unlikely event of an Emergency, I give permission to the MEF/SMX
staff to seek medical attention for my child and use our medical insurance listed on the previous page. I give permission for the
program director, SMX staff and/or local medical personnel to transport my child to a medical facility if necessary.
I/we, the undersigned, hereby grant permission for (child's name) to be photographed during summer camp. I/we grant permission for the release & publication of photograph/image.
I/we, the undersigned, hereby grant permission for (child's name) to attend field trips.