RELEASE OF LIABILITY, PROMISE NOT TO SUE, ASSUMPTION OF RISK, MEDICAL TREATMENT AUTHORIZATION AND AGREEMENT TO PAY CLAIMS
Activity: Santa Barbara Track Club Invitational
Date: Saturday, June 29 – Sunday, June 30
Activity Location(s): Westmont College
In consideration for being allowed to participate in this Activity, on behalf of myself and my next of kin, heirs and representatives, I release from all liability and promise not to sue Santa Barbara Track Club and Westmont College and their employees, officers, directors, volunteers and agents (collectively “SBTC”) from any and all claims, including claims of SBTC’s negligence, resulting in any injury, illness, damages, or economic or emotional loss I or the Participant listed below (“Participant”) may suffer because of Participant’s participation in this Activity, including travel to, from and during the Activity.
Participant is voluntarily participating in this Activity. I am aware of the risks and possible injuries associated with traveling to/from and participating in this Activity and I understand that these injuries or outcomes may arise from my own, Participant’s or other’s actions, inaction, or negligence; conditions related to travel; or the condition of the Activity location(s). Nonetheless, I assume all related risks, both known or unknown to me, of Participant’s participation in this Activity, including travel to, from and during the Activity.
I agree to hold SBTC harmless from any and all claims including attorney’s fees or damage to my personal property, that may occur as a result of Participant’s participation in this Activity, including travel to, from and during the Activity.
I grant my authorization and consent for SBTC, its employees and agents (hereafter “Designated Adult”) to administer general first aid treatment for any minor injuries or illnesses experienced by the Participant. If the injury or illness is life threatening or in need of emergency treatments, I authorize the Designated Adult to summon any and all professional emergency personnel to attend, transport, and treat the Participant and to issue consent for medical diagnosis, treatment, or hospital care deemed advisable, by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur. I agree to assume financial responsibility for all expenses of such care.
It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and power on the part of the Designated Adult in the exercise of his or her best judgment upon the advice of any such medical or emergency personnel.
I myself am parent or legal guardian of the Participant. I understand the legal consequences of signing this document, including (a) releasing SBTC from all liability on my and the Participant’s behalf, (b) promising not to sue on my and the Participant’s behalf, (c) and assuming all risks of the Participant’s participation in this Activity, including travel to, from and during the Activity, and (d) authorizing medical treatment on behalf of the Participant. I allow Participant to participate in this Activity. I understand that I am responsible for the obligations and acts of Participant as described in this document. I agree to be bound by the terms of this document. I agree that if any portion of this document is held invalid or unenforceable, I will continue to be bound by the remaining terms. I have read this document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me.
I authorize the use, in future program publications, of still or motion images that are recorded during program activities and include this participant.