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Next Generation Leaders Medical & Liability Waiver

~5 min to complete

We require separate waivers for each child who enrolls. A link will be provided at the end of this form to start a new waiver for a sibling.
Please complete the form below so that in the event of accident, illness, injury or a medical emergency, we may arrange appropriate care. We will make every effort to keep this information confidential, for use only by Next Generation Leaders Inc employees and medical professionals attending to the student.
This form must be completed and signed by a parent or legal guardian.

Student

Emergency contact other than a parent