RELEASE OF LIABILITY, WAIVER OF RIGHT TO SUE, ASSUMPTION OF RISK AGREEMENT TO PAY CLAIMS AND MEDICAL TREATMENT AUTHORIZATION

 

American River College Softball Field – June 13-16/June 27-30

 

Hazards to be aware of: Participation in any sport exposes the participant to the risk of injury or death. Injuries include death, serious neck and spinal injuries, paralysis, brain damage, injury to vital organs, bones, joints, muscles and tendons, heat injuries, psychological/emotional injuries, heat injuries, etc.

 

Hazard mitigation (how to prepare for a safe activity): Follow coaches’ instructions, come prepared for the activity, proper shoes and other standard equipment, proper warm up and stretching, drinking sufficient water, caution when playing, etc,

 

In consideration for my child, (Name) ________________________________ being allowed to participate in the Activity named above, I release from liability and waive my right to sue American River College and Elite Athlete Consulting from any and all claims resulting in any physical injury, illness (including death) or economic loss that my child may suffer because of my participation in this Activity, including any travel to and from the Activity.

 

I am voluntarily allowing the participation of my child in this Activity. I understand that there are risks, such as physical and/or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability or even death, which may occur from my participation in this Activity. These injuries or outcomes may arise from my child’s or other’s actions, inactions, negligence, or from the condition of the Activity location(s) or facility(ies). Nonetheless, I, the child’s parent or guardian, assume all related risks, whether known or unknown to me, of the named child’s participation in this Activity, including travel to and from the Activity.

 

I agree to hold American River College and Elite Athlete Consulting harmless from any and all claims, loss or damage to my personal property, liabilities and costs, including attorney’s fees, as a result of my child’s participation in this Activity, including travel to and from the Activity. If the participating child needs medical treatment, American River College and Elite Athlete Consulting is authorized to obtain medical treatment for him/her. I will be financially responsible for any costs of such treatment. I agree that I will not hold the University responsible for any claims resulting from any medical treatment. I am aware that the American River College and Elite Athlete Consulting does not provide health insurance for the participating child, and that any reliance on health insurance is my responsibility.

I have read this document, and I am signing it freely. I understand the legal consequences of signing this document, including (a) release of American River College and Elite Athlete Consulting from all liability on my and the Participant’s behalf, (b) waiver of my and the Participants’ right to sue, (c) and assumption of all risks of the Participant’s participation in this Activity, including travel to and from the Activity. I allow Participant to participate in this Activity. I understand that I am responsible for the obligations and acts of Participant as described in this document. I agree to be bound by the terms of this document.

_________________________________________________________________________

Health insurance company                                             Policy number

 

_________________________________________________________________________

Signature of minor participant’s parent/guardian               Date

 

____________________________________________

Minor participant’s name

 

Additional information
Elite Athlete Consulting purchases secondary excess accidental medical coverage, in the amount of $25,000 for all individual clinic participants. There is a deductible which shall be the parent’s responsibility. In addition, all campers must have primary insurance coverage. Teams must also provide a certificate of insurance. 

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