Payment/Authorization/Release Agreement I, parent/legal guardian of the above-named student (hereinafter “Student”), enter into this Agreement knowingly and willingly and hereby give my express permission and consent for the Student to participate in this program. I hereby release and hold Meritas, LLC and its affiliated companies and schools and their respective officers, employees, agents and representatives (hereinafter collectively referred as “Meritas”) harmless from any injury, loss, or damage to or by the Student. I agree to indemnify Meritas for all injury, loss or damage to the person or property of others caused by the Student. I release and hold Meritas harmless from any liability for reasonable decisions or actions as may be taken to protect the health and safety of the Student. In the event of an accident or emergency, I authorize Meritas to provide, or seek the provision of, health care services for the Student, at my expense, as deemed necessary, and I release and hold Meritas harmless from any and all liability resulting from such health care services. I further agree to assume full responsibility for the payment of all debts that may be incurred by the Student during his/her participation in this program.