PARTICIPANT HEALTH HISTORY
At Splash Fit Swim Club, our student's mental and physical wellbeing is the most significant priority to us. All participants with any health issues should see a physician before beginning any kind of physical activity. Please inform us of any current or former health issues that the applicant feels would hinder his/her ability to learn or of any physical complications that can create obstacles during the student's learning experience.
LATE PICK UP FEES
The guardian/parent is aware of the time that each camp event concludes. There is no tolerance for tardiness on the behalf of a guardian picking up their child. Late fees will incur to your account if after a 10-minute grace period. You are responsible for clearing all late fee balances. Your child will not be able to participate in any Splash Fit Swim Club program until these fees are cleared.
CONCUSSION AWARENESS-PREVENTION GUIDELINES
The following constitute the policies of Splash Fit Swim Club or “SFSC” regarding concussion awareness and prevention within our organization. SFSC is committed to maintain an adequate system and regularly promote a concussion awareness and safety recognition program, including, but not limited to, the online Concussion Course offered by the Centers for Disease Control and Prevention. SFSC communicates, in writing (including by electronic means), our concussion awareness and safety recognition program to all participants, coaches, parents and involved parties. SFSC has a clear understanding of concussion and the potential consequences of the injury; recognizing concussion signs and symptoms and how to respond. SFSC is focused on prevention and preparedness to help participants stay safe and learn the steps for returning to activity after a concussion.
Splash Fit Swim Club will take the following 5 steps if we suspect a participant has a concussion:
1. Remove the athlete from play. Look for signs and symptoms of a concussion if your athlete has experienced a bump or blow to the head or body. When in doubt, keep the athlete out of play.
2. Ensure that the athlete is evaluated by a health care professional experienced in evaluating for concussion.
3. Recording the following information can help health care professionals in assessing the athlete after the injury:
• Cause of the injury and force of the hit or blow to the head or body
• Any loss of consciousness (passed out/knocked out) and if so, for how long
• Any memory loss immediately following the injury
• Any seizures immediately following the injury
• Number of previous concussions (if any)
4. Inform the athlete’s parents or guardians about the possible concussion and give them the fact sheet on concussion. Make sure they know that the athlete should be seen by a health care professional who is experienced in evaluating for concussion.
5. Keep the athlete out of play the day of the injury and until a health care professional, experienced in evaluating for concussion, says he/she is symptom-free, and it’s OK to return to play.
A repeat concussion that occurs before the brain recovers from the first concussion—usually within a short period of time (hours, days, or weeks)—can slow recovery or increase the likelihood of having long-term problems. In rare cases, repeat concussions can result in edema (brain swelling), permanent brain damage, and even death.
CONSENT TO EMERGENCY MEDICAL/DENTAL CARE
If my child requires emergency medical or emergency dental care, and I cannot be reached, I give consent to Splash Fit Swim Club to obtain the necessary medical or emergency dental care for my child. I agree to pay all the costs associated with the emergency medical or emergency dental care that my child receives. I understand that every effort will be made to contact me before and after medical or dental care is provided. I understand that this consent will be in effect as of the date of my signing this form and will continue if my child is enrolled in this program.
LIABILITY/WAIVER & AUTHORIZATION
I hereby authorize any representative of Splash Fit Swim Club to arrange to treat Participant(s) for injury in any medical emergency during participation in aquatic activities under their supervision. I hereby waive, release and forever discharge and agree to indemnify and hold harmless Splash Fit Swim Club, any facility in which their program takes place, their shareholders, owners, members, directors, officers, agents and employees (the “Released Parties”) from any and all actions, suits, demands, claims, damages, attorney fees, and causes of action of any type or kind whatsoever arising out of or caused by the participant(s) in any aquatic activities at Splash Fit Swim Club and/or it’s facilities. I also give full permission for the use of photography for advertisement purposes.
I HAVE CAREFULLY READ THE “TERMS, CONDITIONS & COVID RELEASE POLICY” OF THIS REGISTRATION FORM AND SIGN IT WITH FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE.