Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared by Top Kids Gym & Sports during the selected camp. In exchange for the acceptance of said child’s candidacy by Top Kids Gym & Sports, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Top Kids Gym & Sports 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, or returning from selected camp sessions.
In case of injury to said child, I hereby waive all claims against Top Kids Gym & Sports 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. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization
As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to Top Kids Gym & Sports and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Photo Release and Authorization
As Parent and/or Guardian of the named athlete, I hereby grant consent for my/minor’s picture to be taken or to be filmed while participating in activities at Top Kids Gym & Sports. I authorize Top Kids Gym & Sports to use and publish images, photographs, pictures, portraits, and audio, video and/or film footage of me/minor in all forms of media and in all manner for publication including, but not limited to, advertising and marketing campaigns, press releases, periodicals, and website use. I hereby waive any right I may have to review, inspect, edit or approve such publication and I release Top Kids from any claims I may have against it for use of such images, photographs, pictures, portraits, and audio, video and/or film footage of me.
By your attendance at Top Kids Gym & Sports, you are granting your permission for you and your child to be filmed, videotaped or photographed by any means and are granting full use of your likeliness, voice and words without compensation.