• Bishop Amat Waiver Form 2023/24

    Bishop Amat Waiver Form 2023/24

  • Format: (000) 000-0000.
  • I hereby give my consent and understand when I am on the property of Bishop Amat Memorial High School's property at 14301 Fairgrove Ave., La Puente 91746 California, I recognize the possibility of physical injury and or sickness (COVID 19), which may include but is not limited to paralysis, permanent mental disability, and death, and hereby release, discharge, and otherwise indemnify the owner of Bishop Amat Memorial High School, Total Kaos Wrestling Club, the employees and associated personnel of the organization, and affiliated organizations against any claim by or on behalf of the named above as a result of being on the property. I hereby give my consent to have an athletic trainer, coach, emergency medical technician, nurse, medical treatment facility, and/or Doctor of Medicine or dentistry or associated personnel provide the above person with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation to a medical treatment facility should it be warranted.

    By signing below, I acknowledge that I have read, understand, and accept the above contractual agreements.

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