Informed Consent and Acknowledgement
In the event of my child suffering an unforeseen injufy or illness, I expressly authorize that first aid be administrated. I hereby give my approval for my child’s participation in any and all activities prepared by Palestine Prowlers Sports Association Inc. In exchange for the acceptance of said child’s candidacy by Palestine Prowlers Sports Association Inc., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve, and hold harmless Palestine Prowlers Sports Association Inc. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, and any other activities .
In case of injury to said child, I hereby waive all claims against Palestine Prowlers Sports Association Inc. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including track and field.
By my signature, 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 by Palestine Prowlers Sports Association Inc. (Prowlers)
I authorize the Head Coach, Coaches, or Staff members to sign the standard athlete’s release forms and AAU (Amateur Athletic Union) and USATF documents when entering my child in any sanctioned events.
Should I (or my child) decide to withdraw from participation with The Palestine Prowlers Track Club and its activities, I agree to notify, that I am withdrawing the above named child and acknowledge that all REGISTRATION FEES PAID ARE NON-REFUNDABLE.
Further, in consideration of my child being accepted in Palestine Prowlers Sports Association Inc., I hereby indemnify and hold harmless Palestine Prowlers Sports Association Inc., Board of Directors, Head Coach, Prowlers Coaches, Prowlers Staff, Prowlers assigned Chaperones, Palestine Missionary Baptist Church of Jesus Christ and assigned Chaperones against any and all rights and claims which I have or which may arise in conjunction with my participation or travel to and from practices, track meets, or other activities sanctioned, sponsored and/or attended by the Prowlers and AAU and USATF.
The signee below represents that the above named child’s Medical History including allergies, medications being taken and physical impairments that will in any way effect the child’s participation have been brought to the attention of Palestine Prowlers Sports Association Inc.
I understand my child will not be covered by insurance provided by Palestine Prowlers Sports Association Inc. and that I either have my own major Medical Insurance Policy or, if not; I will cover the expenses of any injury.
By my signature I represent that by signing, I am the person that I purport to be and in the case of parent or legal guardian that such a relationship exist between the child and myself.