Please sign this release by entering your first and last name in the space below: I, the undersigned and parent/guardian of the children listed above, am voluntarily leaving my child(ren) with Creekside and its Parent's Night Out program, and hereby release and waive against all claims Creekside, its agents, employees, volunteers, representatives, officers, and directors from any injuries or damages occurring while the above child(ren) is/are in their care. I also grant my authorization and consent for a designated adult to administer general first aid treatment for minor injuries or illnesses. If the injury or illness is severe, I authorize him or her to seek professional emergency personnel to attend, transport, and treat the minor and to issue consent for any medical care deemed advisable by a licensed medical professional or institution. I authorize the designated adult to exercise best judgment upon the advice of medical or emergency personnel. *