RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENTRelease and Waiver of Liability, Assumption of Risk, and Indemnity and Parental Consent Agreement • January 10th, 2011
Contract Type FiledJanuary 10th, 2011IN CONSIDERATION of being permitted to participate in the PHYSICAL THERAPY PROGRAM ("Activity") I, for myself for family, friends, representatives, assigns, heirs, and next of kin: