Mr. Slayton's Afterschool Clinics Registration

Mr. Slayton's Afterchool Clinics Waiver and Release of Liability Form

I hereby give my permission for my child(ren) to participate in Mr. Slayton's Afterschool Clinics Program.

Participation in any program which involves physical activity exposes the student to certain risks and dangers. Accidents and injuries are always a possibility, and it is impossible to foresee and protect the student from all conceivable dangers.  

I hereby affirm that my child(ren) has/have no conditions that would make it unsafe for him/her/them to participate in the program(s) selected. 

I understand that Mr. Slayton's Afterschool Clinics may exclude my child(ren) from the clinics in the event that I or my child(ren) fail to abide by the health and safety protocols, disrupt, impede or interfere with the operations of the clinics, or threaten the health, safety or welfare of other participants or camp staff, and that no refund of any fees will be made in such circumstances. 

Medical Consent:

I understand that Mr. Slayton's Afterschool Clinics will make every effort to contact me in the case of an emergency. By signing this document, I agree to allow Mr. Slayton's Afterschool Clinics and its staff to administer any medications needed and to provide and arrange for and consent to any necessary medical treatment for my child(ren) while at the clinics, including onsite and offsite emergency care. I accept responsibility for the costs of all such medical treatment.  

Photography Release:

*Please select in question below if you accept or decline photography release for your child(ren)

In consideration of my child(ren)’s participation at Mr. Slayton's Afterschool Clinics, and without any further consideration from Mr. Slayton's Afterschool Clinics, I hereby grant permission to the staff and affiliates of Mr. Slayton's Afterschool Clinics to utilize my child(ren)’s appearance, performance, or voice in any and all manner and media throughout the world for the purpose of promotion, reporting or publication. Mr. Slayton's Afterschool Clinics may use my child(ren)’s, likeness, voice and biographical material in connection with publication, promotion, exhibition and  distribution of such material. I understand that no royalty, fee or any other compensation of any kind shall  become payable to me by reason of such release and use of any photograph.

By signing this Waiver and Release of Liability, with full appreciation of the risk involved, on my own  behalf and on behalf of my child(ren), I hereby voluntarily release and discharge Mr. Slayton's Afterschool Clinics, its  trustees, officers, employees, agents, insurers and contractors from any and all legal or financial responsibility for any personal injury, disability, illness, damage, medical expense or death, arising from  or related to my child(ren)’s participation in the clinics. I agree, for myself and my child(ren), not to make any type of legal or equitable claim on Mr. Slayton's Afterschool Clinics, or any of its trustees, officers, employees,  agents, insurers or contractors with respect to any injury I or my child(ren) may suffer, whether or not it arises through the negligence, omission, default or other action of anyone affiliated with Mr. Slayton's Afterschool Clinics, including other students. I further agree that if any such claim is made, I will indemnify and defend Mr. Slayton's Afterschool Clinics with respect to any such claim, injury or damage.