California Learning Center Waiver and Release PLEASE READ CAREFULLY BEFORE YOU COMPLETE AND SEND IN THIS REGISTRATION FORM THE UNDERSIGNED HEREBY RELEASES, WAIVES, AND AGREES TO INDEMNIFY AND HOLD HARMLESS The California Learning Center (CLC), its employees and owner from all liability to the undersigned, his or her personal representatives, (herein after referred to as releasees) officers, agents, or employees from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or any of the property belonging to me, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise, while participating in such activity, or while in, on or upon the premises where the activity is being conducted. The Undersigned hereby grants to the CLC the right to take photographs of the participant, and authorizes the CLC, its assigns and transferees the right to copyright, use and publish the same in print and/or electronically. The undersigned agrees that the CLC may use such photographs for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. By clicking the SUBMIT button on this form you agree that you have read and fully understand the California Learning Center Waiver and Release.

Click SUBMIT button to send your information. Then, continue to the next section below to send us your payment.