The undersigned certifies that s/he is the parent and/or legal guardian of the above minor child. I give permission for the above named student to participate in the WellKids programs offered by The Wellhouse. I hold harmless The Wellhouse Knox/Open Heart Doula Services, Inc. from any or all injuries or loss of personal property that may arise from participation at the studio. I further authorize any representative of The Wellhouse to obtain any medical treatment that may be deemed necessary. I further give permission for any photos and videos taken during this program to be used in promotion of The Wellhouse/WellKids program.