Common use of CAREFULLY BEFORE SIGNING Clause in Contracts

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Camp, and in consideration of my or our child/xxxx'x being allowed to participate in CHS's Summer Camps. I/we agree to assume all risks (whether known or unknown) of participation in Creekside’s Summer Camps, to release and hold harmless Creekside High School and the St. Xxxxx County School District, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHS's Summer Camps, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHS’s Summer Camps. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s Summer Camps, ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the Year

Appears in 5 contracts

Samples: www-chs.stjohns.k12.fl.us, www-chs.stjohns.k12.fl.us, www-chs.stjohns.k12.fl.us

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CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Camp, and in In consideration of my or our child/xxxx'x being allowed Luther Springs furnishing services and/or equipment to enable me to participate in CHS's Summer Campsa variety of outdoor and recreational activities. I/we I agree as follows: I fully understand and acknowledge that outdoor recreational activities have: (a) inherent risks, dangers, and hazards and such exists in my use of outdoor recreational equipment, transportation to, and my participation in outdoor recreational activities; (b) my participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, death, or other ailments that could cause serious disability; (c) these risks and dangers may be caused by the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature, or other causes. Risks and dangers may arise from foreseeable and unforeseeable causes including risks, hazards, and dangers that are integral to recreational activities that take place in a wilderness, outdoor, or recreational environment; and (d) by my participation in these activities and/or use of equipment, I hereby assume all risks (whether known or unknown) of and dangers and all responsibility for any losses and/or damages. I hereby agree and consent to my participation in Creekside’s Summer Campseach outdoor and recreational activity or retreat that is provided by or on behalf of Luther Springs for the age group in question (which may include, to among other things, camping, hiking, canoeing, playground activities, and swimming). I, on behalf of myself, and my personal representatives hereby waive, release and hold harmless Creekside High School discharge Luther Springs, its agents and the St. Xxxxx County School District, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which claim whatsoever that is not the direct result of active, foreseeable negligence on the part of Luther Springs and its respective agents and employees. I further waive, release and discharge Luther Springs for any claim arising from participation in any programs, service, or other outdoor and recreational activities. The sole proper venue of any dispute that may arise out ofof this Waiver or Release or otherwise between the parties to which Luther Springs, result from or be in any way connected with the participation of my child/xxxx in CHS's Summer Camps, other than claims, liabilities or damages based on the gross negligence of EC or its employeesagents is a party shall be the General Court of Justice, Xxxxxx County, Florida. In additionI understand and acknowledge that this Waiver and Release and any claim arising herein shall be interpreted pursuant to the laws of the State of Florida, I/we agree to indemnify which shall be controlling in all respects and hold the Releasees harmless from any and at all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHS’s Summer Campstimes. I/WE I HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, THE ABOVE PARTIAL WAIVER AND RELEASE OF LIABILITY, LIABILITY AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS PARENTAL CONSENT AND BY SIGNING IT; IT AGREE THAT IT IS MY EXPRESS INTENT TO EXEMPT AND HAVE SIGNED IT FREELY RELIEVE LUTHER SPRINGS CAMP AND VOLUNTARILY WITHOUT ANY INDUCEMENT (RETREAT CENTER AND NOVUSWAY INC. FROM LIABILITY FOR PERSONAL INJURY, PERSONAL PROPERTY DAMAGE OR WRONGFUL DEATH OTHER THAN CLAIMS THAT XXXXX AS THE OPPORTUNITY TO PARTICIPATE IN Creekside’s Summer CampsDIRECT RESULT OF ACTIVE FORESEEABLE NEGLIGENCE. PARTICIPANT NAME (PRINT) PROGRAM OR RETREAT DATES SIGNATURE (If 18 years of age or older) DATE SIGNATURE OF PARENT OR GUARDIAN Street Address (If less than 18 years old) Email Address City, ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITYState, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearZipcode

Appears in 2 contracts

Samples: craftygemini.com, craftygemini.com

CAREFULLY BEFORE SIGNING. Realizing The undersigned student, , of Falmouth High School (FHS) and the undersigned parent or legal guardian of said student, hereby agrees as follows: The undersigned parent or legal guardian hereby give(s) permission to the undersigned student to attend Project Graduation, organized by parent volunteers, on the Project Graduation Committee on June 13-14, 2010. All undersigned individuals (students, parent(s) and legal guardian(s)) understand that there are risks Project Graduation is a purely voluntary event, the attendance at which is not required by any FHS student. The undersigned individuals understand and accept the fact that throughout the evening, the students will be permitted to engage in a variety of recreational activities some of which, by their nature may be activities that have inherent risks. Students will be chaperoned by teachers and parent volunteers. However, all undersigned individuals agree and accept that neither FHS nor the parent volunteers will be responsible for any injury of any student participating in any CHS Summer Camp, this event. All undersigned and in consideration of my or our child/xxxx'x being allowed to participate in CHS's Summer Camps. I/we individuals agree to assume all risks abide by the rules of the FHS Project Graduation Committee. Failure to comply with said rules or engage in inappropriate behavior will result in disciplinary action, possibly requiring a parent or legal guardian to pick up the student (whether known or unknownperhaps at some distance) of participation in Creekside’s Summer Campsfrom the event. PROJECT GRADUATION RULES NO BACKPACKS OR PURSES NO WATER BOTTLES OR DRINKS OF ANY KIND NO ALCOHOL NO DRUGS UPON RETURNING TO FALMOUTH IN THE MORNING NO STUDENT WILL BE ALLOWED TO DRIVE HOME TRANSPORTATION WILL BE BY BUS ALL UNDERSIGNED HEREBY RELEASE, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictWAIVE, together with its facultyDISCHARGE, staffCOVENANT NOT TO XXX, employeesAND AGREE TO INDEMNIFY AND HOLD HARMLESS FHS, coachesITS FACULTY, volunteersSTAFF AND ADMINSTRATION, trustees and other agents (collectivelyAND PARENT VOLUNTEERS, the Releasees)FOR ANY OR ALL LOSS OR DAMAGE AND ANY CLAIM ON ACCOUNT OF INJURY TO THE STUDENT ARISING OUT OF OR RELATED TO THE PROJECT GRADUATION EVENT, from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHS's Summer Camps, other than claims, liabilities or damages based on the gross negligence of EC or its employeesWHETHER CAUSED BY NEGLIGENCE OR OTHERWISE. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHS’s Summer Camps. I/WE ALL UNDERSIGNED HAVE READ THIS PARTICIPATIONRELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISKRISK AND INDEMNITY AGREEMENT, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; , AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY INTEND THEIR SIGNATURES TO PARTICIPATE IN Creekside’s Summer Camps, ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT BE A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. DATED: 2010 DATED: 2010 FHS Student/Graduate Parent/guardian name (please print) Legal Guardian Contact Numbers Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearLegal Guardian

Appears in 1 contract

Samples: Liability and Indemnity Agreement

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Camphigh school athletic program(s), and in consideration of my or our childchild’s/xxxx'x being allowed to participate in CHSEC's Summer Camps. 2018 spring/summer tackle football program, I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s Summer Camps2018 spring/summer tackle football program, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities liabilities, and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's Summer Camps2018 spring/summer tackle football program, including transportation to/from related events or activities, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s Summer Camps2018 spring/summer tackle football program. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN CreeksideEC’s Summer Camps2018 spring/summer TACKLE FOOTBALL PROGRAM), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. I understand that EC’s 2018 spring/summer tackle football program, which may include practices, contests, competitions and/or related activities, may take place away from the main campus of Eastside Catholic School. When school transportation is NOT available, I am responsible for either providing that transportation, allowing my child/xxxx to transport himself/herself to these activities, and/or allowing him/her to ride with another student or parent/guardian. There are risks inherent in having my child/xxxx travel to and from EC’s 2018 spring/summer tackle football program in vehicles driven by students (including my own child/xxxx), or parents/guardians, including without limitation the risks caused by weather and/or road conditions, the risks of inexperienced or negligent drivers, either in the vehicle in which my child/xxxx will be riding or in other vehicles on the road, and the risks of mechanical failure of vehicles. I agree to assume all such risks. By signing this waiver, for myself and on behalf of my heirs, assigns, personal representatives, next of kin, and marital community (if any), I HEREBY RELEASE AND HOLD HARMLESS EASTSIDE CATHOLIC SCHOOL AND ITS COACHES, EMPLOYEES, TRUSTEES, VOLUNTEERS, AND AGENTS (HEREINAFTER "RELEASEES") FROM ANY AND ALL LIABILITY CLAIMS, CAUSES OF ACTION, OR DEMANDS OF ANY KIND OR NATURE WHATSOEVER, AS WELL AS ANY AND ALL INJURY, DISABILITY, DEATH OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, INCIDENT TO MY CHILD'S/XXXX'X TRANSPORTATION OF OR BY ANY INDIVIDUAL IDENTIFIED IN THE PARAGRAPHS ABOVE TO EC’S 2018 SPRING/SUMMER TACKLE FOOTBALL PROGRAM. I have obtained the consent of any other parent or guardian with custodial rights affecting this Agreement Regarding Participation, Assumption of Risks, Waiver and Release of Liability and Indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Parent/guardian name (please printname(s) Parent/guardian signature Date Sworn Student Name Student signature Date Home address City Zip Primary phone Secondary phone In case of emergency call at Insurance Carrier Group/Policy # Subscriber # Student’s Physician City Physician phone Does your child/xxxx have: Life threatening allergies Asthma Seizures Diabetes Other allergies Concussion Information Sheet Spring/Summer 2018 Student/Athlete: Birth Date: Grade: A concussion is a brain injury and ascribed all brain injuries are serious. Concussions are often caused by an impact to the head, or to another part of the body, with the force transmitted to the head. Concussions disrupt the way the brain normally works and vary greatly in severity. Even though most concussions are mild, all concussions are potentially serious and may result in complications, including prolonged brain damage and death if not recognized and managed properly. You can’t see a concussion, and most sports concussions occur without loss of consciousness. Signs and symptoms may show up right away, or can take hours or days to fully appear. Seek medical attention immediately if you suspect your child has suffered a concussion. Xxxxx observed by teammates, parents/guardians or coaches may include: Appears dazed or confused Has a vacant facial expression (“blank stare”) Is unsure of events of game, score, opponent Confused about assignment Moves clumsily/appears uncoordinated Can’t recall events from before me on this Day the injury Has slurred speech Answers questions slowly or can’t answer Can’t recall events from after the injury Loses consciousness Has seizures or convulsions Shows behavior or personality changes Symptoms may include one or more of the following: Headaches “Pressure in head” Nausea/vomiting Neck pain Balance problems or dizziness Blurred or double vision Sensitive to light or noise Drowsiness Amnesia Feels sluggish or slowed down Feeling fogy or groggy Changes in sleep patterns Fatigue/no energy Sadness Mood/emotional changes Nervousness or anxiety Concentration problems Memory problems Confusion Repeats same question/comments What happens if my child keeps playing with a concussion or returns too soon? Students with signs/symptoms of a concussion should be removed from play immediately. Continuing to play while experiencing signs or symptoms of a concussion leaves the student especially vulnerable to greater injury. There is increased risk of significant brain damage from a concussion for a period of time after that concussion occurs, particularly if the student suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (“second impact syndrome”), with devastating and even fatal consequences. It is well known that teenage students will often underreport symptoms of injuries – concussions are no different. We urge parents/guardians to be especially vigilant and watchful, as they know their child best, and are best able to notice changes in the Yearchild that may result from a concussion. What should I do if I think my child has suffered a concussion? If you notice signs or symptoms of a concussion in your child, seek immediate medical attention right away from a licensed healthcare provider, trained in the evaluation and management of concussions, or your hospital’s Emergency Department. Any student suspected of suffering a concussion must be removed from the game or practice immediately and may not return until the student is evaluated (and cleared in writing) by a licensed healthcare provider trained in the evaluation and management of concussions (these include physicians (MD or DO), certified athletic trainers (ATC/L), nurse practitioners (ARNP) and physician assistants (PA)). Eastside Catholic’s certified athletic trainer reviews the reporting from your healthcare provider, administers ImPACT testing at the school and will help coordinate with your child’s coaches, academic counselor and teachers. In the event my child sustains a concussion, when can they return to play? Keep in mind that each concussion is different and therefore no concussion will be managed in exactly the same manner. The step- wise process outlined below for returning to sports following a concussion is in place to ensure the health and safety of the student- athlete. This process is in line with the recommendations of the Seattle Sports Concussion Program (Harborview Medical Center & Seattle Children’s Hospital). Your child may not return to play until the following steps have been completed:

Appears in 1 contract

Samples: www.eastsidecatholic.org

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Camp, and in consideration of my or our child/xxxx'x being allowed to participate in CHS's Summer Camps. I/we agree to assume all risks (whether known or unknown) of participation in Creekside’s Summer Camps, to release and hold harmless Creekside High School and the St. Xxxxx Johns County School District, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHS's Summer Camps, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHS’s Summer Camps. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s Summer Camps, ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the Year

Appears in 1 contract

Samples: www-chs.stjohns.k12.fl.us

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer CampEC middle school CYO athletic program(s), and in consideration of my or our child/xxxx'x being allowed to participate in CHSEC's Summer Camps. 2021-22 middle school CYO athletic program(s), I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s Summer Camps2021-22 middle school CYO athletic program(s), to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's Summer Camps2021-22 middle school CYO athletic program(s), including transportation to/from related events or activities, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s Summer Camps2021-22 middle school CYO athletic program(s). I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN CreeksideEC’s Summer Camps2021-22 MIDDLE SCHOOL CYO ATHLETIC PROGRAM(S)), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT AFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. I understand that EC’s 2021-22 middle school CYO athletic program(s), which may include practices, contests, competitions and/or related activities, may take place away from the main campus of Eastside Catholic School. When school transportation is not available, I am responsible for either providing that transportation, allowing my child to transport themselves to these activities, and/or allowing them to ride with another student or parent/guardian. There are risks inherent in having my child/xxxx travel to and from EC’s 2021-22 middle school CYO athletic program(s) in vehicles driven by students (including my own child/xxxx), or parents/guardians, including without limitation the risks caused by weather and/or road conditions, the risks of inexperienced or negligent drivers, either in the vehicle in which my child/xxxx will be riding or in other vehicles on the road, and the risks of mechanical failure of vehicles. I agree to assume all such risks. By signing this waiver, for myself and on behalf of my heirs, assigns, personal representatives, next of kin, and marital community (if any), I HEREBY RELEASE AND HOLD HARMLESS EASTSIDE CATHOLIC SCHOOL AND ITS COACHES, EMPLOYEES, TRUSTEES, VOLUNTEERS, AND AGENTS (HEREINAFTER "RELEASEES") FROM ANY AND ALL LIABILITY CLAIMS, CAUSES OF ACTION, OR DEMANDS OF ANY KIND OR NATURE WHATSOEVER, AS WELL AS ANY AND ALL INJURY, DISABILITY, DEATH OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, INCIDENT TO MY CHILD'S/XXXX'X TRANSPORTATION OF OR BY ANY INDIVIDUAL IDENTIFIED IN THE PARAGRAPHS ABOVE TO ANY EC’S 2021-22 MIDDLE SCHOOL CYO ATHLETIC PROGRAM(S) FOR THE 2021-22 SCHOOL YEAR. I have obtained the consent of any other parent or guardian with custodial rights affecting this Agreement Regarding Participation, Assumption of Risks, Waiver and Release of Liability and Indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Student name (please print) Student signature Date Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearDate

Appears in 1 contract

Samples: www.eastsidecatholic.org

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS EC 2023 Summer CampProgram, and in consideration of my or our child/xxxx'x being allowed to participate in CHSEC's 2023 Summer CampsProgram. I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s 2023 Summer CampsProgram, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's 2023 Summer CampsProgram, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s 2023 Summer CampsProgram. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s 2023 Summer CampsProgram, ASSURANCE OR GUARANTEE BEING MADE TO ME/US). I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT AFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, RELEASEES TO THE GREATEST EXTENT ALLOWED BY LAW. Student signature (if age 17 or older) Date Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearDate

Appears in 1 contract

Samples: Liability and Indemnification Agreement

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer CampEC middle school CYO athletic program(s), and in consideration of my or our child/xxxx'x being allowed to participate in CHSEC's Summer Camps. 2019-20 middle school CYO athletic program(s), I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s Summer Camps2019-20 middle school CYO athletic program(s), to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's Summer Camps2019-20 middle school CYO athletic program(s), including transportation to/from related events or activities, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s Summer Camps2019-20 middle school CYO athletic program(s). I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN CreeksideEC’s Summer Camps2019-20 MIDDLE SCHOOL CYO ATHLETIC PROGRAM(S)), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT AFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. I understand that EC’s 2019-20 middle school CYO athletic program(s), which may include practices, contests, competitions and/or related activities, may take place away from the main campus of Eastside Catholic School. When school transportation is not available, I am responsible for either providing that transportation, allowing my child to transport himself/herself to these activities, and/or allowing him/her to ride with another student or parent. There are risks inherent in having my child/xxxx travel to and from EC’s 2019-20 middle school CYO athletic program(s) in vehicles driven by students (including my own child/xxxx), or parents, including without limitation the risks caused by weather and/or road conditions, the risks of inexperienced or negligent drivers, either in the vehicle in which my child/xxxx will be riding or in other vehicles on the road, and the risks of mechanical failure of vehicles. I agree to assume all such risks. By signing this waiver, for myself and on behalf of my heirs, assigns, personal representatives, next of kin, and marital community (if any), I HEREBY RELEASE AND HOLD HARMLESS EASTSIDE CATHOLIC SCHOOL AND ITS COACHES, EMPLOYEES, TRUSTEES, VOLUNTEERS, AND AGENTS (HEREINAFTER "RELEASEES") FROM ANY AND ALL LIABILITY CLAIMS, CAUSES OF ACTION, OR DEMANDS OF ANY KIND OR NATURE WHATSOEVER, AS WELL AS ANY AND ALL INJURY, DISABILITY, DEATH OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, INCIDENT TO MY CHILD'S/XXXX'X TRANSPORTATION OF OR BY ANY INDIVIDUAL IDENTIFIED IN THE PARAGRAPHS ABOVE TO ANY EC’S 2019-20 MIDDLE SCHOOL CYO ATHLETIC PROGRAM(S) FOR THE 2019-20 SCHOOL YEAR. I have obtained the consent of any other parent or guardian with custodial rights affecting this Agreement Regarding Participation, Assumption of Risks, Waiver and Release of Liability and Indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Student name (please print) Student signature Date Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearDate

Appears in 1 contract

Samples: www.eastsidecatholic.org

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS EC 2022 Summer CampProgram, and in consideration of my or our child/xxxx'x being allowed to participate in CHSEC's 2022 Summer CampsProgram. I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s 2022 Summer CampsProgram, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's 2022 Summer CampsProgram, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s 2022 Summer CampsProgram. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s 2022 Summer CampsProgram, ASSURANCE OR GUARANTEE BEING MADE TO ME/US). I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT AFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. Student signature (if age 17 or older) Date _ __ Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearDate

Appears in 1 contract

Samples: Liability and Indemnification Agreement

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Campathletic program(s), and in consideration of my or our child/xxxx'x being allowed to participate in CHSEC's Summer Camps. 2019 spring/summer athletic program, I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s Summer Camps2019 spring/summer athletic program, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities liabilities, and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's Summer Camps2019 spring/summer athletic program, , other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s Summer Camps2019 spring/summer athletic program. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN CreeksideEC’s Summer Camps2019 SPRING/SUMMER ATHLETIC PROGRAM), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. ParentThere are risks inherent in having my child/xxxx travel to and from EC’s 2019 spring/summer athletic program in vehicles driven by students (including my own child/xxxx), or parents, including without limitation the risks caused by weather and/or road conditions, the risks of inexperienced or negligent drivers, either in the vehicle in which my child/xxxx will be riding or in other vehicles on the road, and the risks of mechanical failure of vehicles. I agree to assume all such risks. By signing this waiver, for myself and on behalf of my heirs, assigns, personal representatives, next of kin, and marital community (if any), I HEREBY RELEASE AND HOLD HARMLESS EASTSIDE CATHOLIC SCHOOL AND ITS COACHES, EMPLOYEES, TRUSTEES, VOLUNTEERS, AND AGENTS (HEREINAFTER "RELEASEES") FROM ANY AND ALL LIABILITY CLAIMS, CAUSES OF ACTION, OR DEMANDS OF ANY KIND OR NATURE WHATSOEVER, AS WELL AS ANY AND ALL INJURY, DISABILITY, DEATH OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, INCIDENT TO MY CHILD'S/XXXX'X TRANSPORTATION OF OR BY ANY INDIVIDUAL IDENTIFIED IN THE PARAGRAPHS ABOVE TO THE 2019 SPRING/SUMMER ATHLETIC PROGRAM AT EC. I have obtained the consent of any other parent or guardian name (please printwith custodial rights affecting this Agreement Regarding Participation, Assumption of Risks, Waiver and Release of Liability and Indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Parent name(s) Parent/guardian Parent signature Student Name Student signature Date Sworn Home address City Zip Primary phone Secondary phone In case of emergency call at Insurance Carrier _ Group/Policy # Subscriber # Student’s Physician City Physician phone Does your child/xxxx have: Life threatening allergies Asthma Seizures Diabetes Other allergies Concussion Information Sheet 2019 Spring/Summer Student/Athlete: Birth Date: Grade: A concussion is a brain injury and ascribed all brain injuries are serious. Concussions are often caused by an impact to the head, or to another part of the body, with the force transmitted to the head. Concussions disrupt the way the brain normally works and vary greatly in severity. Even though most concussions are mild, all concussions are potentially serious and may result in complications, including prolonged brain damage and death if not recognized and managed properly. You can’t see a concussion, and most sports concussions occur without loss of consciousness. Signs and symptoms may show up right away or can take hours or days to fully appear. Seek medical attention immediately if you suspect your child/xxxx has suffered a concussion. Xxxxx observed by teammates, parents or coaches may include: Appears dazed or confused Has a vacant facial expression (“blank stare”) Is unsure of events of game, score, opponent Confused about assignment Moves clumsily/appears uncoordinated Can’t recall events from before me on this Day the injury Has slurred speech Answers questions slowly or can’t answer Can’t recall events from after the injury Loses consciousness Has seizures or convulsions Shows behavior or personality changes Symptoms may include one or more of the following: Headaches “Pressure in head” Nausea/vomiting Neck pain Balance problems or dizziness Blurred or double vision Sensitive to light or noise Drowsiness Amnesia Feels sluggish or slowed down Feeling fogy or groggy Changes in sleep patterns Fatigue/no energy Sadness Mood/emotional changes Nervousness or anxiety Concentration problems Memory problems Confusion Repeats same question/comments What happens if my child/xxxx keeps playing with a concussion or returns too soon? Students with signs/symptoms of a concussion should be removed from play immediately. Continuing to play while experiencing signs or symptoms of a concussion leaves the student especially vulnerable to greater injury. There is increased risk of significant brain damage from a concussion for a period of time after that concussion occurs, particularly if the student suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (“second impact syndrome”), with devastating and even fatal consequences. It is well known that teenage students will often underreport symptoms of injuries – concussions are no different. We urge parents/guardians to be especially vigilant and watchful, as they know their child/xxxx best, and are best able to notice changes in the Yearchild/xxxx that may result from a concussion. What should I do if I think my child/xxxx has suffered a concussion? If you notice signs or symptoms of a concussion in your child/xxxx, seek immediate medical attention right away from a licensed healthcare provider, trained in the evaluation and management of concussions, or your hospital’s Emergency Department. Any student suspected of suffering a concussion must be removed from the game or practice immediately and may not return until the student is evaluated (and cleared in writing) by a licensed healthcare provider trained in the evaluation and management of concussions (these include physicians (MD or DO), certified athletic trainers (ATC/L), nurse practitioners (ARNP) and physician assistants (PA)). Eastside Catholic’s certified athletic trainer reviews the reporting from your healthcare provider, administers ImPACT testing at the school and will help coordinate with your child’s/xxxx’x coaches, academic counselor and teachers. In the event my child/xxxx sustains a concussion, when can they return to play? Keep in mind that each concussion is different and therefore no concussion will be managed in exactly the same manner. The step- wise process outlined below for returning to sports following a concussion is in place to ensure the health and safety of the student- athlete. This process is in line with the recommendations of the Seattle Sports Concussion Program (Harborview Medical Center & Seattle Children’s Hospital). Your child/xxxx may not return to play until the following steps have been completed:

Appears in 1 contract

Samples: Carefully Read and Complete Both Pages

CAREFULLY BEFORE SIGNING. Realizing This agreement releases SportDance from all liability relating to injuries that there may occur during all activities related to participation in fastpitch softball while on property of the TCO Dome at Lakeville North. By signing this agreement, I agree to hold SportDance entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence. I also acknowledge the risks inherent involved in any CHS Summer Campfastpitch softball. These include but are not limited to bodily injury, personal injury, sickness, disease, death, and property loss or damage to Participant or others. I swear that I am participating voluntarily, and that all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in consideration this activity. By signing below, I forfeit all right to bring a suit against SportDance for any reason. I, , fully understand and agree to the above terms. Name of Participant: (print) Signature of Participant Date NOTICE: If Participant is under 18 years old or has a legal guardian or conservator, this release must be signed by the custodial parent, legal guardian, or conservator. I certify that I am the custodial parent, legal guardian, or conservator of the above-named Participant. I hereby consent to Participant’s participation in the Activity. I have read and understand the above terms and conditions and agree to be bound by all of them. (print) Name of Parent/Legal Guardian/Conservator: Signature of Parent/Legal Guardian/Conservator Date Team Registration Form Team Name: Coach contact info: Name E-Mail Cell Phone I acknowledge that I have advised and confirmed that all players for my or our child/xxxx'x being team who participate in this fastpitch softball league at the TCO Dome at Lakeville North are to read and sign the SportDance Waiver of Liability and return this document to SportDance. I acknowledge that any players from my team who have not done so are not allowed to participate in CHS's Summer Camps. I/we agree to assume this fastpitch softball league and thereby forfeit all risks (whether known or unknown) of participation in Creekside’s Summer Camps, to release and hold harmless Creekside High School and the St. Xxxxx County School District, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHS's Summer Camps, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHS’s Summer Camps. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s Summer Camps, ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of legal rights explained in the YearSportDance Waiver of Liability. Coach Signature Date Rules of League Teams are allowed a one-hour warm-up prior to start of game. ALL TEAMS WILL HELP SETUP AND TAKE DOWN FIELD. (See dome staff for details) You are allowed 25 minutes in batting cage (2 batting cages). Share warm up space equally and fairly. No metal\plastic\rubber cleats allowed. No food or bottle drinks allowed in dome. (See Dome staff for details) A ball hit into dome surface is a dead ball. A ball hit into dome surface past midpoint of outfield and determined by umpire to be fair will be a homerun. A ball hit into net cable is a dead ball. Games end at 55 minutes or play through to 115 minutes (to be determined by coaches prior to game). Umpires are allowed rest breaks if needed. All behavior determined ‘un-sportsmen like’ by umpire or dome staff will not be tolerated. A first warning will be given, and any subsequent incident will result in removal from dome.

Appears in 1 contract

Samples: cdn1.sportngin.com

CAREFULLY BEFORE SIGNING. Realizing The undersigned student, , of Falmouth High School (FHS) and the undersigned parent or legal guardian of said student, xxxxxx agrees as follows: The undersigned parent or legal guardian hereby give(s) permission to the undersigned student to attend Project Graduation, organized by parent volunteers, on the Project Graduation Committee on June 13-14, 2010. All undersigned individuals (students, parent(s) and legal guardian(s)) understand that there are risks Project Graduation is a purely voluntary event, the attendance at which is not required by any FHS student. The undersigned individuals understand and accept the fact that throughout the evening, the students will be permitted to engage in a variety of recreational activities some of which, by their nature may be activities that have inherent risks. Students will be chaperoned by teachers and parent volunteers. However, all undersigned individuals agree and accept that neither FHS nor the parent volunteers will be responsible for any injury of any student participating in any CHS Summer Camp, this event. All undersigned and in consideration of my or our child/xxxx'x being allowed to participate in CHS's Summer Camps. I/we individuals agree to assume all risks abide by the rules of the FHS Project Graduation Committee. Failure to comply with said rules or engage in inappropriate behavior will result in disciplinary action, possibly requiring a parent or legal guardian to pick up the student (whether known or unknownperhaps at some distance) of participation in Creekside’s Summer Campsfrom the event. PROJECT GRADUATION RULES NO BACKPACKS OR PURSES NO WATER BOTTLES OR DRINKS OF ANY KIND NO ALCOHOL NO DRUGS UPON RETURNING TO FALMOUTH IN THE MORNING NO STUDENT WILL BE ALLOWED TO DRIVE HOME TRANSPORTATION WILL BE BY BUS ALL UNDERSIGNED HEREBY RELEASE, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictWAIVE, together with its facultyDISCHARGE, staffCOVENANT NOT TO SUE, employeesAND AGREE TO INDEMNIFY AND HOLD HARMLESS FHS, coachesITS FACULTY, volunteersSTAFF AND ADMINSTRATION, trustees and other agents (collectivelyAND PARENT VOLUNTEERS, the Releasees)FOR ANY OR ALL LOSS OR DAMAGE AND ANY CLAIM ON ACCOUNT OF INJURY TO THE STUDENT ARISING OUT OF OR RELATED TO THE PROJECT GRADUATION EVENT, from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHS's Summer Camps, other than claims, liabilities or damages based on the gross negligence of EC or its employeesWHETHER CAUSED BY NEGLIGENCE OR OTHERWISE. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHS’s Summer Camps. I/WE ALL UNDERSIGNED HAVE READ THIS PARTICIPATIONRELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISKRISK AND INDEMNITY AGREEMENT, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; , AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY INTEND THEIR SIGNATURES TO PARTICIPATE IN Creekside’s Summer Camps, ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT BE A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. DATED: 2010 DATED: 2010 FHS Student/Graduate Parent/guardian name (please print) Legal Guardian Contact Numbers Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearLegal Guardian

Appears in 1 contract

Samples: Liability and Indemnity Agreement

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS EC 2021 Summer CampProgram, and in consideration of my or our child/xxxx'x being allowed to participate in CHSEC's 2021 Summer CampsProgram. I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s 2021 Summer CampsProgram, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's 2021 Summer CampsProgram, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s 2021 Summer CampsProgram. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s 2021 Summer CampsProgram, ASSURANCE OR GUARANTEE BEING MADE TO ME/US). I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT AFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. Student signature (if age 17 or older) Date _ __ Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearDate

Appears in 1 contract

Samples: Liability and Indemnification Agreement

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Camp, and in In consideration of for my or our child/xxxx'x being allowed to participate in CHS's Summer Camps. I/we agree to assume all risks (whether known or unknown) of ’s participation in Creekside’s Summer Camps, to release hosted by the (“Program”), I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO XXX, AND AGREE TO INDEMNIFY AND HOLD HARMLESS for any and hold harmless Creekside High School all purposes SPONSOR, The UNIVERSITY OF CENTRAL FLORIDA, the UCF BOARD OF TRUSTEES, the STATE OF FLORIDA and the St. Xxxxx County School DistrictFLORIDA BOARD OF GOVERNORS and their respective officers, together with its facultyservants, staff, employees, coachesagents, volunteers, trustees or employees (herein collectively referred to as RELEASEES) FROM ANY AND ALL LIABILITIES, RESPONSIBILITIES, CLAIMS, DEMANDS, CAUSES OF ACTION OR INJURY, INCLUDING DEATH, that may be sustained by my child, or to any property belonging to me or my child, whether caused by the negligence of the RELEASEES or otherwise, while participating in the Program, or while in, on or upon the premises where the Program is being conducted. Program activities may include, but are not limited to the following: • Virtual group conversations • Interactive learning sessions in an online platform IDENTIFICATION AND ACKNOWLEDGMENT OF RISK I am fully aware of the risks and other agents (collectivelypotential hazards connected with participating in the Program, including but not limited to, the Releasees)risk of data mining, from phishing, viruses, malware, data breach of online information cyberbullying, exploitation, victimization, cyber stalking, online grooming, cyber predators, digital footprint, reputation loss, compliance violations, brand hijacking, image replication, and I hereby elect to voluntarily participate in the Program, and engage in such activity knowing that the activity may be hazardous to my child and/or my or my child’s property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, that may be sustained by my child, or any and all claimsloss or damage to property owned by me, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, as a result from or be in any way connected with the participation of my child/xxxx child being engaged in CHS's Summer Campssuch an activity, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHS’s Summer Camps. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS WHETHER CAUSED BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s Summer Camps, ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the Yearor otherwise.

Appears in 1 contract

Samples: compliance.ucf.edu

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CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Camphigh school athletic program(s), and in consideration of my or our childchild’s/xxxx'x being allowed to participate in CHSEC's Summer Camps. 2019 cheer clinic, I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s Summer Camps2019 cheer clinic, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities liabilities, and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's Summer Camps2019 cheer clinic, including transportation to/from related events or activities, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s Summer Camps2019 cheer clinic. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN CreeksideEC’s Summer Camps2019 CHEER CLINIC), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. I understand that EC’s 2019 cheer clinic, which may include practices, contests, competitions and/or related activities, may take place away from the main campus of Eastside Catholic School. When school transportation is NOT available, I am responsible for either providing that transportation, allowing my child/xxxx to transport himself/herself to these activities, and/or allowing him/her to ride with another student or parent/guardian. There are risks inherent in having my child/xxxx travel to and from EC’s 2019 cheer clinic in vehicles driven by students (including my own child/xxxx), or parents/guardians, including without limitation the risks caused by weather and/or road conditions, the risks of inexperienced or negligent drivers, either in the vehicle in which my child/xxxx will be riding or in other vehicles on the road, and the risks of mechanical failure of vehicles. I agree to assume all such risks. By signing this waiver, for myself and on behalf of my heirs, assigns, personal representatives, next of kin, and marital community (if any), I HEREBY RELEASE AND HOLD HARMLESS EASTSIDE CATHOLIC SCHOOL AND ITS COACHES, EMPLOYEES, TRUSTEES, VOLUNTEERS, AND AGENTS (HEREINAFTER "RELEASEES") FROM ANY AND ALL LIABILITY CLAIMS, CAUSES OF ACTION, OR DEMANDS OF ANY KIND OR NATURE WHATSOEVER, AS WELL AS ANY AND ALL INJURY, DISABILITY, DEATH OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, INCIDENT TO MY CHILD'S/XXXX'X TRANSPORTATION OF OR BY ANY INDIVIDUAL IDENTIFIED IN THE PARAGRAPHS ABOVE TO EC’S 2019 CHEER CLINIC. I have obtained the consent of any other parent or guardian with custodial rights affecting this Agreement Regarding Participation, Assumption of Risks, Waiver and Release of Liability and Indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Parent/guardian name (please printname(s) Parent/guardian signature Student Name Student signature Date Sworn Home address City Zip Primary phone Secondary phone In case of emergency call at Insurance Carrier _ Group/Policy # Subscriber # Student’s Physician City Physician phone Does your child/xxxx have: Life threatening allergies Asthma Seizures Diabetes Other allergies CONCUSSION INFORMATION SHEET SPRING/SUMMER 2019 Student/Athlete: Birth Date: Grade: A concussion is a brain injury and ascribed all brain injuries are serious. Concussions are often caused by an impact to the head, or to another part of the body, with the force transmitted to the head. Concussions disrupt the way the brain normally works and vary greatly in severity. Even though most concussions are mild, all concussions are potentially serious and may result in complications, including prolonged brain damage and death if not recognized and managed properly. You can’t see a concussion, and most sports concussions occur without loss of consciousness. Signs and symptoms may show up right away, or can take hours or days to fully appear. Seek medical attention immediately if you suspect your child has suffered a concussion. Xxxxx observed by teammates, parents/guardians or coaches may include: Appears dazed or confused Has a vacant facial expression (“blank stare”) Is unsure of events of game, score, opponent Confused about assignment Moves clumsily/appears uncoordinated Can’t recall events from before me on this Day the injury Has slurred speech Answers questions slowly or can’t answer Can’t recall events from after the injury Loses consciousness Has seizures or convulsions Shows behavior or personality changes Symptoms may include one or more of the following: Headaches “Pressure in head” Nausea/vomiting Neck pain Balance problems or dizziness Blurred or double vision Sensitive to light or noise Drowsiness Amnesia Feels sluggish or slowed down Feeling fogy or groggy Changes in sleep patterns Fatigue/no energy Sadness Mood/emotional changes Nervousness or anxiety Concentration problems Memory problems Confusion Repeats same question/comments What happens if my child keeps playing with a concussion or returns too soon? Students with signs/symptoms of a concussion should be removed from play immediately. Continuing to play while experiencing signs or symptoms of a concussion leaves the student especially vulnerable to greater injury. There is increased risk of significant brain damage from a concussion for a period of time after that concussion occurs, particularly if the student suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (“second impact syndrome”), with devastating and even fatal consequences. It is well known that teenage students will often underreport symptoms of injuries – concussions are no different. We urge parents/guardians to be especially vigilant and watchful, as they know their child best, and are best able to notice changes in the Yearchild that may result from a concussion. What should I do if I think my child has suffered a concussion? If you notice signs or symptoms of a concussion in your child, seek immediate medical attention right away from a licensed healthcare provider, trained in the evaluation and management of concussions, or your hospital’s Emergency Department. Any student suspected of suffering a concussion must be removed from the game or practice immediately and may not return until the student is evaluated (and cleared in writing) by a licensed healthcare provider trained in the evaluation and management of concussions (these include physicians (MD or DO), certified athletic trainers (ATC/L), nurse practitioners (ARNP) and physician assistants (PA)). Eastside Catholic’s certified athletic trainer reviews the reporting from your healthcare provider, administers ImPACT testing at the school and will help coordinate with your child’s coaches, academic counselor and teachers. In the event my child sustains a concussion, when can they return to play? Keep in mind that each concussion is different and therefore no concussion will be managed in exactly the same manner. The step- wise process outlined below for returning to sports following a concussion is in place to ensure the health and safety of the student- athlete. This process is in line with the recommendations of the Seattle Sports Concussion Program (Harborview Medical Center & Seattle Children’s Hospital). Your child may not return to play until the following steps have been completed:

Appears in 1 contract

Samples: Carefully Read and Complete Both Pages

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Camphigh school athletic program(s), and in consideration of my or our childchild’s/xxxx'x being allowed to participate in CHSEC's Summer Camps. 2019 cheer clinic, I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s Summer Camps2019 cheer clinic, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities liabilities, and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's Summer Camps2019 cheer clinic, including transportation to/from related events or activities, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s Summer Camps2019 cheer clinic. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN CreeksideEC’s Summer Camps2019 CHEER CLINIC), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. I understand that EC’s 2019 cheer clinic, which may include practices, contests, competitions and/or related activities, may take place away from the main campus of Eastside Catholic School. When school transportation is NOT available, I am responsible for either providing that transportation, allowing my child/xxxx to transport himself/herself to these activities, and/or allowing him/her to ride with another student or parent/guardian. There are risks inherent in having my child/xxxx travel to and from EC’s 2019 cheer clinic in vehicles driven by students (including my own child/xxxx), or parents/guardians, including without limitation the risks caused by weather and/or road conditions, the risks of inexperienced or negligent drivers, either in the vehicle in which my child/xxxx will be riding or in other vehicles on the road, and the risks of mechanical failure of vehicles. I agree to assume all such risks. By signing this waiver, for myself and on behalf of my heirs, assigns, personal representatives, next of kin, and marital community (if any), I HEREBY RELEASE AND HOLD HARMLESS EASTSIDE CATHOLIC SCHOOL AND ITS COACHES, EMPLOYEES, TRUSTEES, VOLUNTEERS, AND AGENTS (HEREINAFTER "RELEASEES") FROM ANY AND ALL LIABILITY CLAIMS, CAUSES OF ACTION, OR DEMANDS OF ANY KIND OR NATURE WHATSOEVER, AS WELL AS ANY AND ALL INJURY, DISABILITY, DEATH OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, INCIDENT TO MY CHILD'S/XXXX'X TRANSPORTATION OF OR BY ANY INDIVIDUAL IDENTIFIED IN THE PARAGRAPHS ABOVE TO EC’S 2019 CHEER CLINIC. I have obtained the consent of any other parent or guardian with custodial rights affecting this Agreement Regarding Participation, Assumption of Risks, Waiver and Release of Liability and Indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Parent/guardian name (please printname(s) Parent/guardian signature Student Name Student signature Date Sworn Home address City Zip Primary phone Secondary phone In case of emergency call at Insurance Carrier _ Group/Policy # Subscriber # Student’s Physician City Physician phone Does your child/xxxx have: Life threatening allergies Asthma Seizures Diabetes Other allergies Concussion Information Sheet Spring/Summer 2019 Student/Athlete: Birth Date: Grade: A concussion is a brain injury and ascribed all brain injuries are serious. Concussions are often caused by an impact to the head, or to another part of the body, with the force transmitted to the head. Concussions disrupt the way the brain normally works and vary greatly in severity. Even though most concussions are mild, all concussions are potentially serious and may result in complications, including prolonged brain damage and death if not recognized and managed properly. You can’t see a concussion, and most sports concussions occur without loss of consciousness. Signs and symptoms may show up right away, or can take hours or days to fully appear. Seek medical attention immediately if you suspect your child has suffered a concussion. Xxxxx observed by teammates, parents/guardians or coaches may include: Appears dazed or confused Has a vacant facial expression (“blank stare”) Is unsure of events of game, score, opponent Confused about assignment Moves clumsily/appears uncoordinated Can’t recall events from before me on this Day the injury Has slurred speech Answers questions slowly or can’t answer Can’t recall events from after the injury Loses consciousness Has seizures or convulsions Shows behavior or personality changes Symptoms may include one or more of the following: Headaches “Pressure in head” Nausea/vomiting Neck pain Balance problems or dizziness Blurred or double vision Sensitive to light or noise Drowsiness Amnesia Feels sluggish or slowed down Feeling fogy or groggy Changes in sleep patterns Fatigue/no energy Sadness Mood/emotional changes Nervousness or anxiety Concentration problems Memory problems Confusion Repeats same question/comments What happens if my child keeps playing with a concussion or returns too soon? Students with signs/symptoms of a concussion should be removed from play immediately. Continuing to play while experiencing signs or symptoms of a concussion leaves the student especially vulnerable to greater injury. There is increased risk of significant brain damage from a concussion for a period of time after that concussion occurs, particularly if the student suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (“second impact syndrome”), with devastating and even fatal consequences. It is well known that teenage students will often underreport symptoms of injuries – concussions are no different. We urge parents/guardians to be especially vigilant and watchful, as they know their child best, and are best able to notice changes in the Yearchild that may result from a concussion. What should I do if I think my child has suffered a concussion? If you notice signs or symptoms of a concussion in your child, seek immediate medical attention right away from a licensed healthcare provider, trained in the evaluation and management of concussions, or your hospital’s Emergency Department. Any student suspected of suffering a concussion must be removed from the game or practice immediately and may not return until the student is evaluated (and cleared in writing) by a licensed healthcare provider trained in the evaluation and management of concussions (these include physicians (MD or DO), certified athletic trainers (ATC/L), nurse practitioners (ARNP) and physician assistants (PA)). Eastside Catholic’s certified athletic trainer reviews the reporting from your healthcare provider, administers ImPACT testing at the school and will help coordinate with your child’s coaches, academic counselor and teachers. In the event my child sustains a concussion, when can they return to play? Keep in mind that each concussion is different and therefore no concussion will be managed in exactly the same manner. The step- wise process outlined below for returning to sports following a concussion is in place to ensure the health and safety of the student- athlete. This process is in line with the recommendations of the Seattle Sports Concussion Program (Harborview Medical Center & Seattle Children’s Hospital). Your child may not return to play until the following steps have been completed:

Appears in 1 contract

Samples: Carefully Read and Complete Both Pages

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Campathletic program, and in consideration of my or our child/xxxx'x child being allowed to participate in CHS's Summer Camps. the Program, I/we agree to assume all risks (whether known or unknown) of participation in Creekside’s Summer Campsthe Program, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictSHYL, together with its facultyboard, staff, employeesteam managers, coaches, volunteers, trustees and other agents of SHYL, the other children participating in the Program and their parents or legal guardians (collectively, the Releasees“Released Parties”), from any and all claims, liabilities liabilities, and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my childchild in the Program, including transportation to/xxxx from all related events or activities in CHS's Summer Campsthe Program, other than claims, liabilities or damages based on the gross negligence or intentional conduct of EC or its employeesthe Released Parties. In addition, I/we agree to indemnify and hold the Releasees Released Parties harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx child or alleged to have been caused by me or by our child/xxxx child while our child/xxxx child is participating in CHS’s Summer Campsthe Program. I agree that it is the sole responsibility of each parent and player to ensure all required player equipment is worn, all equipment meets all applicable safety standards required by US Lacrosse, and the helmet and face mask is NOCSAE (National Operating Committee on Standards for Athletic Equipment) approved. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s Summer CampsTHE PROGRAM), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL UNCONDITIONALLY RELEASE AND WAIVER OF WAIVE ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES RELEASED PARTIES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY AND HOLD HARMLESS THE RELEASEESRELEASED PARTIES, TO THE GREATEST EXTENT ALLOWED BY LAW. Parent/I have obtained the consent of any other parent or guardian name (please print) Parent/guardian with custodial rights affecting this Agreement regarding participation, assumption of risks, waiver and release of liability and indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Electronic Signature Agreement: By selecting the "I have read and accept" button, you are signing this Agreement electronically. You agree your electronic signature Date Sworn and ascribed before me is the legal equivalent of your manual signature on this Day of in the YearAgreement. By selecting "I have read and accept" you consent

Appears in 1 contract

Samples: Sleepy Hollow and Tarrytown Youth Lacrosse Waiver and Release

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer Campathletic program(s), and in consideration of my or our child/xxxx'x being allowed to participate in CHSBLC 's Summer Camps. 2013 lacrosse program, I/we agree to assume all risks (whether known or unknown) of participation in CreeksideBLC’s Summer Camps2013 lacrosse program, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictBitmore Lacrosse Club, together with its facultyboard, staff, employeesteam managers, coaches, volunteers, trustees and other agents (collectively, the Releasees“Released Parties”), from any and all claims, liabilities liabilities, and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSBLC 's Summer Camps2013 lacrosse program, including transportation to/from related events or activities, other than claims, liabilities or damages based on the gross negligence of EC BLC or its employeesvolunteers. In addition, I/we agree to indemnify and hold the Releasees Released Parties harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSBLC’s Summer Camps2013 lacrosse program. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN CreeksideBLC’s Summer Camps2013 LACROSSE PROGRAM), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL UNCONDITIONALLY RELEASE AND WAIVER OF WAIVE ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES RELEASED PARTIES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY AND HOLD HARMLESS THE RELEASEESRELEASED PARTIES, TO THE GREATEST EXTENT ALLOWED BY LAW. ParentI have obtained the consent of any other parent or guardian with custodial rights affecting this Agreement Regarding Participation, Assumption of Risks, Waiver and Release of Liability and Indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Parent name(s): Player Name: Home address: Primary phone: _ Secondary phone: In case of emergency call: Relationship Phone: Insurance Carrier: Group/guardian name (please printPolicy #: Subscriber #: Player’s Physician: Physician’s phone: Player’s Physical/Medical Restrictions: Medications: US Lacrosse Membership #: Expiration Date: Parent /Guardian Signature(s) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearDate

Appears in 1 contract

Samples: Bitmore Lacrosse Club Waiver and Release

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer CampEC middle school CYO athletic program(s), and in consideration of my or our child/xxxx'x being allowed to participate in CHSEC's Summer Camps. 2022-23 middle school CYO athletic program(s), I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s Summer Camps2022-23 middle school CYO athletic program(s), to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's Summer Camps2022-23 middle school CYO athletic program(s), including transportation to/from related events or activities, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s Summer Camps2022-23 middle school CYO athletic program(s). I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN CreeksideEC’s Summer Camps2022-23 MIDDLE SCHOOL CYO ATHLETIC PROGRAM(S)), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT AFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. I understand that EC’s 2022-23 middle school CYO athletic program(s), which may include practices, contests, competitions and/or related activities, may take place away from the main campus of Eastside Catholic School. When school transportation is not available, I am responsible for either providing that transportation, allowing my child to transport himself/herself to these activities, and/or allowing him/her to ride with another student or parent. There are risks inherent in having my child/xxxx travel to and from EC’s 2022-23 middle school CYO athletic program(s) in vehicles driven by students (including my own child/xxxx), or parents, including without limitation the risks caused by weather and/or road conditions, the risks of inexperienced or negligent drivers, either in the vehicle in which my child/xxxx will be riding or in other vehicles on the road, and the risks of mechanical failure of vehicles. I agree to assume all such risks. By signing this waiver, for myself and on behalf of my heirs, assigns, personal representatives, next of kin, and marital community (if any), I HEREBY RELEASE AND HOLD HARMLESS EASTSIDE CATHOLIC SCHOOL AND ITS COACHES, EMPLOYEES, TRUSTEES, VOLUNTEERS, AND AGENTS (HEREINAFTER "RELEASEES") FROM ANY AND ALL LIABILITY CLAIMS, CAUSES OF ACTION, OR DEMANDS OF ANY KIND OR NATURE WHATSOEVER, AS WELL AS ANY AND ALL INJURY, DISABILITY, DEATH OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, INCIDENT TO MY CHILD'S/XXXX'X TRANSPORTATION OF OR BY ANY INDIVIDUAL IDENTIFIED IN THE PARAGRAPHS ABOVE TO ANY EC’S 2022-23 MIDDLE SCHOOL CYO ATHLETIC PROGRAM(S) FOR THE 2022-23 SCHOOL YEAR. I have obtained the consent of any other parent or guardian with custodial rights affecting this Agreement Regarding Participation, Assumption of Risks, Waiver and Release of Liability and Indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Student name (please print) Student signature Date Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearDate

Appears in 1 contract

Samples: www.eastsidecatholic.org

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS Summer CampEC middle school CYO athletic program(s), and in consideration of my or our child/xxxx'x being allowed to participate in CHSEC's Summer Camps. 2023-24 middle school CYO athletic program(s), I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s Summer Camps2023-24 middle school CYO athletic program(s), to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's Summer Camps2023-24 middle school CYO athletic program(s), including transportation to/from related events or activities, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s Summer Camps2023-24 middle school CYO athletic program(s). I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN CreeksideEC’s Summer Camps2023-24 MIDDLE SCHOOL CYO ATHLETIC PROGRAM(S)), ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT AFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. I understand that EC’s 2023-24 middle school CYO athletic program(s), which may include practices, contests, competitions and/or related activities, may take place away from the main campus of Eastside Catholic School. When school transportation is not available, I am responsible for either providing that transportation, allowing my child to transport himself/herself to these activities, and/or allowing him/her to ride with another student or parent. There are risks inherent in having my child/xxxx travel to and from EC’s 2023-24 middle school CYO athletic program(s) in vehicles driven by students (including my own child/xxxx), or parents, including without limitation the risks caused by weather and/or road conditions, the risks of inexperienced or negligent drivers, either in the vehicle in which my child/xxxx will be riding or in other vehicles on the road, and the risks of mechanical failure of vehicles. I agree to assume all such risks. By signing this waiver, for myself and on behalf of my heirs, assigns, personal representatives, next of kin, and marital community (if any), I HEREBY RELEASE AND HOLD HARMLESS EASTSIDE CATHOLIC SCHOOL AND ITS COACHES, EMPLOYEES, TRUSTEES, VOLUNTEERS, AND AGENTS (HEREINAFTER "RELEASEES") FROM ANY AND ALL LIABILITY CLAIMS, CAUSES OF ACTION, OR DEMANDS OF ANY KIND OR NATURE WHATSOEVER, AS WELL AS ANY AND ALL INJURY, DISABILITY, DEATH OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES, OR OTHERWISE, INCIDENT TO MY CHILD'S/XXXX'X TRANSPORTATION OF OR BY ANY INDIVIDUAL IDENTIFIED IN THE PARAGRAPHS ABOVE TO ANY EC’S 2023-24 MIDDLE SCHOOL CYO ATHLETIC PROGRAM(S) FOR THE 2023-24 SCHOOL YEAR. I have obtained the consent of any other parent or guardian with custodial rights affecting this Agreement Regarding Participation, Assumption of Risks, Waiver and Release of Liability and Indemnification and have the full legal authority to enter into this Agreement on behalf of myself and such other parent or guardian. Student name (please print) Student signature Date Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearDate

Appears in 1 contract

Samples: resources.finalsite.net

CAREFULLY BEFORE SIGNING. Realizing that there are risks inherent in any CHS EC 2020 Summer CampProgram, and in consideration of my or our child/xxxx'x being allowed to participate in CHSEC's 2020 Summer CampsProgram. I/we agree to assume all risks (whether known or unknown) of participation in CreeksideEC’s 2020 Summer CampsProgram, to release and hold harmless Creekside High School and the St. Xxxxx County School DistrictEASTSIDE CATHOLIC SCHOOL, together with its faculty, staff, employees, coaches, volunteers, trustees and other agents (collectively, the Releasees), from any and all claims, liabilities and damages relating to any injury, sickness, death or destruction of any property which may arise out of, result from or be in any way connected with the participation of my child/xxxx in CHSEC's 2020 Summer CampsProgram, other than claims, liabilities or damages based on the gross negligence of EC or its employees. In addition, I/we agree to indemnify and hold the Releasees harmless from any and all claims for injuries or property damage brought on behalf of myself or our child/xxxx or alleged to have been caused by me or by our child/xxxx while our child/xxxx is participating in CHSEC’s 2020 Summer CampsProgram. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s 2020 Summer CampsProgram, ASSURANCE OR GUARANTEE BEING MADE TO ME/US). I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT AFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. Student signature (if age 17 or older) Date _ __ Parent/guardian name (please print) Parent/guardian signature Date Sworn and ascribed before me on this Day of in the YearDate

Appears in 1 contract

Samples: Liability and Indemnification Agreement

CAREFULLY BEFORE SIGNING. Realizing INITIAL EACH PARAGRAPH INITIALS By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participation; and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that there are risks inherent in any CHS Summer Camp, and in consideration is a risk of my becoming exposed to or our child/xxxx'x being allowed to participate in CHS's Summer Campsinfected by COVID-19 while attending a session at Ventura Surf School. I/we INITIALS I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself or my child(ren) (whether known including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or unknown) expense, of any kind, that I may experience or incur in connection with my participation in Creekside’s Summer Campsat Ventura Surf School. On my behalf, I hereby release, covenant not to release xxx, discharge, and hold harmless Creekside High School and the St. Xxxxx County School DistrictVentura Surf School, together with its faculty, staff, employees, coachesagents, volunteersand representatives, trustees of and other agents (collectivelyfrom the Claims, the Releasees)including all liabilities, from any and all claims, liabilities and damages relating to any injuryactions, sicknessdamages, death costs or destruction expenses of any property which may arise kind arising out of, result from of or be in relating thereto. I understand and agree that this release includes any way connected with the participation of my child/xxxx in CHS's Summer Camps, other than claims, liabilities or damages Claims based on the gross actions, omissions, or negligence of EC or Ventura Surf School, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation at Ventura Surf School. In additionINITIALS By signing this document, I/we I agree to indemnify and hold the Releasees harmless from any and all claims for injuries that if I am exposed or property damage brought on behalf infected by COVID-19 during my participation in this activity, then I may be found by a court of myself or our child/xxxx or alleged law to have been caused waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence. INITIALS I agree that to the best of their ability my child will follow all camp safety guidelines laid out by me or by our Ventura Surf School. and will attempt to practice safe social distancing and clean hygiene at all times during their participation in Ventura Surf School surf camp. Failure to comply with provided safety guidelines will result in your child/xxxx while our child/xxxx is participating in CHS’s Summer Campsexpulsion from camp. I/WE HAVE READ THIS PARTICIPATION, ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNIFICATION AGREEMENT; FULLY UNDERSTAND ITS TERMS; UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT; AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT (OTHER THAN THE OPPORTUNITY TO PARTICIPATE IN Creekside’s Summer Camps, ASSURANCE OR GUARANTEE BEING MADE TO ME/US. I/WE INTEND MY/OUR SIGNATURE(S) TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE AND WAIVER OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE RELEASEES IDENTIFIED IN THIS AGREEMENT, AND TO INDEMNIFY THE RELEASEES, TO THE GREATEST EXTENT ALLOWED BY LAW. Signature of Parent/guardian name (please print) Guardian Date DATE Printed Name of Parent/guardian signature Date Sworn and ascribed before me on this Day of in the Year

Appears in 1 contract

Samples: venturasurfschool.com

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