I acknowledge that my child is physically fit to participate in the Feelin' Good® Mileage Club®, hereinafter referred to as the "Club" and he/she has my permission to participate.
By signing and submitting this entry and waiver, I am legally bound, hereby for my child, heirs, my personal representatives, administrators and myself.
I waive and release all rights and claims for damages I/my child may have against the Sparrow Hospital and Sparrow Health System, my child's school, sponsors of the "Club", its agents, representatives, successors for any and all injuries suffered by my child while participating in the "Club."
I also authorize Sparrow Health System to utilize any photography and videotape of my child's participation for publicity, fundraising, advertising or any other lawful purpose.
I accept the Waiver
Please note: Your submission is final and cannot be changed.Make sure you review ALL fields before submitting your child's information.
Your privacy is important to us. The information gathered will only be used by Sparrow and will not be shared with a third party. Your information will remain confidential.
Congratulations to our2016 gas card winners!