Text Box:  
Community Education Release made by the undersigned
 participants of the class: 
______________________________________during _____________________________.  
To St. Louis County Schools, ISD 2142, a Minnesota municipal corporation, for class held from at the Cook School.  I hereby and forever discharge and release St. Louis County Schools, their successors and assigns from all debts, claims, demands, damages, actions and causes of actions whatsoever which I may have or hereafter have as a result of the use of the above mentioned facility by myself or my child.  I acknowledge that I am aware of the risks and hazards involved in this aforesaid activity.  In witness thereof, I the undersigned have executed this release on the day and year appearing after my signature.  
Participants Name________________________________________ 
Parent Signature__________________________ 
Date______________ Phone #________________Alt. Phone #_________
Age Group:      _____Preschool    ____Student    ______ Adult     _____ Sr. C
I do___ do not___ give permission to use photos for Community Ed. Promotions.
Fee paid: __________ cash  —  __________check.

Text Box:

Text Box: Please print and fill out a form for each class you wish to enroll in.  Make checks payable to ISD 2142  and mail them to:
 
Cook Community Education
Cook School
306 E. Vermilion Blvd.
Cook, MN  55723