I/we, the parents/guardians of {fullName3} for membership in PLACER SHERIFF'S ACTIVITIES LEAUGE (PSAL), hereby give my/our approval to his/her participation in any and all PSAL activities during the current season. I/we do hereby assume all risks and hazards incidental to such participation including transportation to and from activities. I/we do hereby waive, release, absolve, indemnify and agree to hold harmless, the County of Placer, PSAL, the respective sanctioning associations, organizations, or leagues and the organizers, sponsors, supervisors, participants and persons transporting my/our child to and from activities, for claims arising out of injury to my/our child. PSAL has group accident insurance coverage for medical and hospital expenses, with a deductible for each accident. The insurance is secondary when there is any other valid and collectible insurance provided by parent/guardian. Limited coverage is provided for any one accident with limited dental coverage for sound, natural teeth. A copy of the policy is available for inspection at the PSAL office. In signing the foregoing release, I/we acknowledge that: (1) any claim for medical service which arises out of an injury must be reported to a PSAL league official within thirty (30) days of the date of injury; (2) I/we have read the forgoing release, understand it and signed it voluntarily. I/we further understand that any registration fee or other sums paid does not constitute a direct premium payment for insurance.
In the event of injury to {fullName3}, I/we hereby grant authority to a qualified physician to render such medical treatment as said physician deems necessary under the circumstances. I/we, the Parents/Guardian of the above named PSAL candidate have read and understand the above Parental Consent, Insurance Information Clause, and Medical Treatment Authorization.
I, the parent/guardian of {fullName3}, agree to allow my child to participate in the activity listed in my child’s registration form including associated travel.
I am aware these activities can be inherently dangerous and I am voluntarily allowing my child to participate in teh activities with knowledge of risks involved, both expected and unexpected and hereby agree to accept an and all risks or injury to death.
In return for the benefits from my child’s participation, I agree not to sue and release and hold harmless the County of Placer, PSAL, their officers, directors, employees, agents and volunteers from any liability for any loss, injury, or death connected with my child’s participation in the activity except for loss, injury, or death caused intentionally or by willful misconduct.
The Placer Sheriff’s Activities League reserves the right to photograph facilities and program participants for promotional purposes. On behalf of my child, I agree to the use of any such photographs in which he/she may appear. Photographs may be used in brochures, displays with press releases, on the County of Placer website, any social media website, or the PSAL website. Individuals may submit their photos for consideration.
This release is intended to protect the County of Placer, The Placer Sheriff's Activities League, their officers, directors, employees, agents, and volunteers from claims of negligence. However, this release is not intended to exempt them from responsibility for willful or intentional acts or omissions which result in loss, injury, or death. I have carefully read this Release of Liability and Assumption of Risk Agreement. I fully undersand its contents and implications. I am aware that this is a Release of Liability, Hold Harmless Agreement and Assumption of Risk Agreement and that it is a leagally binding contract between The County of Placer, The Placer Sheriff's Activities League, myself, and {fullName3}. I further understand that this release is binding on my heirs, personal representatives, next of kin, spouse, domestic partner and assigns. I sign this agreement of my own free will.