Membership Application

Mother's Connection Registration Waiver 2020

I, the unersigned, as an individual and as a representative of my family, understand that my participation and the participation of any members of my family or other individuals designated by me at any Mother's Connection of the Farmington Valley ("MCFV") activity or program is completely voluntary, and I hereby give permission for myself and my family and other individuals designated by me to join in MCFV activities and programs. I shall hold harmless MCFV, any MCFV volunteers or representatives, paid and/or unpaid, and/or the providers of any activity or program location and/or materials from liability and/or responsibility for any accident, illness, or injury that occurs during and/or as a result of our participation in any MCFV activity or program. I accept that the final responsibility for my safety and that of my family rests with me.

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Farmington Valley, Hartford County, CT