SECTION A - ACKNOWLEDGMENT OF INHERENT RISKS
I understand that wrestling and related club activities involve inherent risks of injury. I understand that these risks are characteristic of, intrinsic to, and an integral part of the activity, and that some risks cannot be avoided or eliminated even with proper supervision, coaching, instruction, mat rules, conditioning, and reasonable safety precautions.
I understand that these inherent risks may include, without limitation:
· Sprains, strains, bruises, contusions, and fractures
· Head, neck, back, spinal, dental, and facial injuries
· Skin conditions and skin-to-skin transmitted infections, including ringworm, impetigo, staph, and similar conditions
· Concussion or other head injury
· Aggravation of a pre-existing condition
· Serious or catastrophic injury, and death in rare circumstances
I understand that these risks may arise from drilling, live wrestling, takedowns, mat returns, scrambling, conditioning, warm-ups, competition, contact with other participants, contact with equipment or the premises, and the ordinary physical nature of wrestling and related athletic activity.
SECTION B - CLUB ACTIVITIES COVERED
This form applies to the athlete's participation in Emerald Coast Wrestling Club, Inc. activities, including practices, scrimmages, tournaments, clinics, camps, conditioning sessions, weigh-ins, meetings, and other supervised club-sponsored wrestling or training activities (collectively, "Club Activities").
SECTION C - RELEASE OF CLAIMS FOR INHERENT RISKS
In consideration of my child being allowed to participate in Club Activities, I, on behalf of myself and my minor child, knowingly and voluntarily waive, release, and discharge any claim or cause of action against Emerald Coast Wrestling Club, Inc., its officers, directors, board members, coaches, assistant coaches, volunteers, agents, representatives, and the owners or operators of any facility or venue used for Club Activities (collectively, the "Released Parties"), for personal injury, death, or property damage resulting from the inherent risks of Club Activities.
I understand that this release is intended to apply only to claims arising from the inherent risks of the activity as allowed by Florida law.
SECTION D - ASSUMPTION OF RISK
I knowingly and voluntarily allow my child to participate in Club Activities with full understanding that wrestling is a potentially dangerous contact sport and that participation exposes my child to the inherent risks described above.
I understand that my child's participation is voluntary, and I assume, on behalf of myself and my child, all such inherent risks of participation.
SECTION E - PARENT / GUARDIAN HEALTH AND SAFETY ACKNOWLEDGMENTS
I agree that I will promptly inform the Club of any injury, illness, concussion symptoms, skin condition, communicable condition, medication change, medical restriction, or other health issue that could affect my child's safe participation.
I understand and agree that:
1. My child may be withheld from participation or removed from participation if the Club believes participation may be unsafe.
2. If my child is suspected of having sustained a concussion or other head injury, my child may be removed from activity immediately.
3. My child may be required to provide written medical clearance before returning to practice or competition after a concussion, head injury, serious injury, skin infection, or other condition affecting safe participation.
4. I understand that any medical condition disclosed to the Club does not create a duty for the Club, its coaches, or volunteers to monitor, treat, or manage that condition. I acknowledge that responsibility for all medical conditions remains solely with the parent/guardian.
SECTION F - LIMITED INDEMNIFICATION FOR DAMAGE CAUSED BY MISCONDUCT
I agree to be responsible for loss, damage, or expense caused by my child's intentional misconduct, reckless conduct, or willful violation of Club rules, or for damage caused by me or my family to any facility or property used for Club Activities.
SECTION G - NO GUARANTEE OF INSURANCE OR MEDICAL CARE
I understand that Emerald Coast Wrestling Club, Inc. does not guarantee insurance coverage, medical treatment, or reimbursement of medical expenses by the Club. I understand that USA Wrestling membership and any related coverage are addressed separately in the registration packet and remain the family's responsibility unless expressly stated otherwise by the Club.
SECTION H - FLORIDA LAW NOTICE
NOTICE TO THE MINOR CHILD'S NATURAL GUARDIAN
READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF EMERALD COAST WRESTLING CLUB, INC., ITS OFFICERS, DIRECTORS, BOARD MEMBERS, COACHES, ASSISTANT COACHES, VOLUNTEERS, AGENTS, REPRESENTATIVES, AND THE OWNERS OR OPERATORS OF ANY FACILITY OR VENUE USED FOR CLUB ACTIVITIES USE REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED.
BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD'S RIGHT AND YOUR RIGHT TO RECOVER FROM EMERALD COAST WRESTLING CLUB, INC., ITS OFFICERS, DIRECTORS, BOARD MEMBERS, COACHES, ASSISTANT COACHES, VOLUNTEERS, AGENTS, REPRESENTATIVES, AND THE OWNERS OR OPERATORS OF ANY FACILITY OR VENUE USED FOR CLUB ACTIVITIES IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND EMERALD COAST WRESTLING CLUB, INC. HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.
Emerald Coast Wrestling Club, Inc. | Destin, Florida