Medical Release and Authorization
At our CeeVisionSports summer camp, we will provide an on call doctor. The doctor will make visits to camp sessions periodically throughout the term. As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to the CeeVisionSports Camp and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
COVID -19 Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
The novel coronavirus (“COVID-19”) has been declared a worldwide pandemic by the World Health
Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, health authorities have recommended social distancing and the wearing of mask for protection. CeeVisionSports has put in place preventative measures to reduce the spread of COVID-19; however, cannot guarantee that you will not become infected with COVID-19. Further, attending any program or activity with CeeVisionSports could increase your risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposing my child/ward and myself to or infected by COVID-19 while attending all activities under CeeVisionSports. Such exposure or infection may result in personal injury, illness, permanent disability, and death.
I understand that the risk of becoming exposed to or infected by COVID-19 from CeeVisionSports activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, CeeVisionSports coaches, employees, volunteers, participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child/ward and myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at any CeeVisionSports activities. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless CeeVisionSports, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto.
I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of CeeVisionSports, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after attending any CeeVisionSports program or activity.
PARENTAL CONSENT: I am the minor’s parent or guardian named above and I understand the nature of the Waiver of Liability above and verify and consent to the minor attending CeeVisionSports academy. On the minor’s behalf, I hereby release, covenant not to sue, discharge, and hold harmless CeeVisionSports, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. On behalf of the minor, I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the CeeVisionSports, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after attending in any CeeVisionSports program or activity.