Informed Consent and Acknowledgment of Risks
1. Informed Consent and Acknowledgment of Risks To Memphis Mustangs Track Club (MMTC), its Coaching Staff, President,board members, and volunteers:
2. I represent that I am the parent or legal guardian of the above named minor child, and that I have completed all the required registration forms. By my signature below I hereby give my consent for the above named child to participate in practices, track meets, travel, and other activities sanctioned, sponsored, and/or attended.
3. I authorize the Coaches or board members to sign the standard athlete's release form when entering my child in any USATF/AAU Track and Field sanctioned event. Further, in consideration of my child being accepted by MMTC, I hereby indemnify and hold harmless MMTC, MMTC board members, MMTC coaches, MMTC volunteers, USATF/AAU, its officers, agents, servants, and employees against any and all rights and claims which I have or which may arise in conjunction with my child's participation or travel to and from practices, track meets and venues, or other activities sanctioned and attended by MMTC. In case of a medical emergency, I give permission to MMTC, its board members and coaches, to take my child to the nearest emergency treatment facility in the event an injury or illness should warrant emergency treatment.
4. The undersigned further represents that the above named child is physically fit and any physical impairment that will affect the child's participation has been submitted to the President or Head Coach of MMTC in writing.
5. I acknowledge the contagious nature of the Coronavirus/COVID-19 and that Memphis Mustangs Track Club has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
6. I further acknowledge that Memphis Mustangs Track Club can not guarantee that your minor child will not become infected with the Coronavirus/Covid-19.
7. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to other minor children and their families.
8. I voluntarily seek services provided by Memphis Mustangs Track Club and acknowledge that my minor child has increased risk to exposure to the Coronavirus/COVID-19.
9. I acknowledge that my minor child and I must comply with all set procedures to reduce the spread while attending training/practice.
10. I attest that my minor child will not attend practice if:
* Experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* Traveled internationally within the last 14 days.
* Traveled to a highly impacted area within the United States of America in the last 14 days.
* Believe they have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* Diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
11. I acknowledge that my minor child and I are following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
12. I hereby release and agree to hold Memphis Mustangs Track Club harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the track club, or that may otherwise arise in any way in connection with any services received from MMTC. I understand that this release discharges MMTC from any liability or claim that I, my heirs, or any personal representatives may have against MMTC with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from MMTC. This liability waiver and release extends to MMTC together with all its Coaching Staff, President, board members, and volunteers.