LEFT COAST ATHLETIX
  • LEFT COAST ATHLETIX

    SUPER 7
  • LIABILITY RELEASE WAIVER FORM

  • LIABILITY RELEASE WAIVER, DISCHARGE, AND COVENANT NOT TO SUE

    Parent Name This is a legally binding LIABILITY RELEASE WAIVER, Discharge, and Covenant Not to Sue (the "Release") made by us, to Left Coast Athletix its governing board, Coach Jose Mohler, any coaches, directors, organizers, sponsors, staff, assistant coaches, employees, interns, or volunteers, its agents, employees, independent contractors, related entities, and its successors and assigns (the "Released Parties"

    We fully recognize that there are dangers and risks to which our children/athlete(s) may be exposed by participating in the camp on APRIL 23rd, APRIL 30th, and MAY 10th or in any Left Coast Athletix related event (the or this "Activity"

    We understand that Left Coast Athletix by Coach Jose Mohler, does not require my child to participate in this Activity, but we want our children to, despite all the possible risks and dangers. We, therefore, agree to assume and take on ourselves all of the risk and responsibilities in any way associated with this Activity. We release Left Coast Athletix and the Released Parties from any and all liability, claims and actions included rights to sue, that may arise from injury, including death, in connection with this Activity. We also release and hold harmless and cannot sue the Released Parties with respect to any and all such injury, paralysis, dismemberment, death, or loss except that injury or loss which results from gross negligence or willful or wanton misconduct of one of those individuals or organizations. We agree my child must follow all safety rules as well as any other rules given during this quarterback and wide receiver training camp (the Activity We authorize and give consent for medical care to be given in an emergency situation to the above-named child while he or she is participating in the above-named Activity. We assure Left Coast Athletix and the Released Parties that there are no health-related reasons or problems which could or would preclude or restrict my child to participate in this Activity. We further assure the Released Parties that we have adequate health insurance necessary to provide for and pay any medical costs that may directly or indirectly result from participation in this Activity, and we will indemnify and hold theReleased Parties harmless for any such medical costs.

    I/WE HAVE READ THIS ENTIRE RELEASE, I/WE FULLY UNDERSTAND IT AND I/WE AGREE TO BE LEGALLY BOUND BY IT. THIS IS TO CERTIFY AS A PARENT/GUARDIAN OF THIS PARTICIPANT/ATHLETE, I/WE DO CONSENT TO THIS WAIVER AND RELEASE AS FORTH ABOVE. I/WE REALIZE THAT PARTICIPATION IN THIS PROGRAMS IS STRICTLY VOLUNTARY AND I/WE ASSUME ANY AND ALL RISKS ASSOCIATED WITH MY/OUR CHILDREN(S)/ATHLETE(S) PARTICIPATION IN THIS ACTIVITY.

    COVID-19 Assumption of Risk, Release, and Waiver of Liability Agreement ASSUMPTION OF RISKS. I understand that while Service Provider has undertaken reasonable steps to lessen the risk of-transmission of COVID-19 in connection with the Services, Service Provider is not responsible in any manner for any risks related to COVID-19 in connection with the Services. I understand that the World Health Organization has classified the COVID-19 outbreak as a pandemic. I further understand that COVID-19 isahighlycontagious and dangerous disease, and that contact with the virus that causes COVID-19 may result in significant personal injury or death. Iam fully aware that participation in this camp carries with it certain inherent risks related to COVID-19 transmission ("Inherent Risks") that cannot be eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) the risk of coming into close contact with individuals or objects that may be carrying COVID-19; (2) the risk of transmitting or contracting COVID-19, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from COVID-19 or the treatment thereof. Further, I understand that the risks of COVID-19 are not fully understood, and that contact with, or transmission of, COVID-19 may result in risks including but not limited to loss, personal injury, sickness, death, damage, and expense, the exact nature of which are not currently ascertainable, and all of which are to be considered Inherent Risks. I hereby voluntarily accept and assume all risk of loss, personal injury, sickness, death, damage, and expense arising from such Inherent Risks. Furthermore, I represent and warrant that I do not suffer from any medical condition or disease that might in any way hinder or prevent me from receiving the Services, including, to my knowledge, COVID-19.

  • Clear
  •  / /
  •  
  • Should be Empty: