To Whom It May Concern:
The undersigned does hereby give permission for our (my) child, , to attend and participate in Legacy Traditional School athletic activities for the 2017-2018 school year. I/We will notify the Athletic Director if there are any extracurricular activities in which we do not want our child to participate.
I/We authorize an adult in whose care the minor has been entrusted to consent to any X-ray examination, anesthetic, medical, surgical or dental diagnosis or medical treatment, and hospital care to be rendered to the minor under the general or special supervision and on the advice of any licensed physician or dentist, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.
The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.
The undersigned understands that he/she is responsible for transporting his/her child to and from any Legacy Traditional School athletic practice or event.
This parental consent form is good for the time period indicated above only.
Legacy Traditional School Waiver
By indicating your acceptance, you understand, agree, warrant and covenant as follows: I understand that my minor child’s participation in the Legacy Traditional Athletic Program is potentially hazardous, and that my child should not enter and participate unless the child is medically able. In consideration of the privilege of participating in the Legacy Traditional Athletics Program, I assume full and complete responsibility for any injury or accident which may occur while my child is traveling to or from any/all of the athletic events/practices, during the events/ practices, wherever held, or while the child is on the premises of the events/practices. I am aware of and assume all risks associated with my child participating in the Legacy Traditional Athletic Program, including but not limited to falls, contact with other participants, and effect of weather, traffic and conditions of the road. I, for myself and my heirs and executors, hereby waive, release and forever discharge the Legacy Traditional Athletic Programs organizers, sponsors, promoters, Legacy Traditional School, representatives, successors and assigns, and all other persons associated with any Legacy Traditional Athletics Program event, from all of liabilities, claims, actions, or damages arising out of, relating to, or in any way connected with, my child’s participation. I understand that this waiver includes any claims, whether caused by negligence, the action or inaction of any of the above parties, or otherwise. I understand that the athletic participation fee is non -refundable and non- transferable. I hereby grant full permission to any and all of the above parties to use any photographs, videotapes, motion pictures, website images, recordings or any other record of my minor child’s participation in the Legacy Traditional Athletic Program.
LEGACY TRADITIONAL ATHLETIC PROGRAM REGISTRATION AGREEMENT AND LIABILITY WAIVER
1. Authority to Register and/or to Act as Agent
You represent and warrant to LEGACY TRADITIONAL SCHOOL that you have full legal authority to enter into this agreement and liability waiver on behalf of any minor child that you are registering for Legacy Athletics. By registering a child under 18, you agree and consent to the collection of that child's information which you provide for the purposes of registration.
WITHOUT LIMITING THE LEGACY TRADITIONAL SCHOOL WAIVER, SET FORTH ABOVE, YOU UNDERSTAND THAT PARTICIPATION IN THE LEGACY TRADITIONAL ATHLETIC PROGRAM IS POTENTIALLY HAZARDOUS, AND THAT YOUR MINOR CHILD SHOULD NOT PARTICIPATE UNLESS THEY ARE MEDICALLY ABLE. YOU UNDERSTAND THAT PROGRAM EVENTS/PRACTICES MAY BE HELD OVER PUBLIC ROADS AND FACILITIES MAY BE OPEN TO THE PUBLIC UPON WHICH HAZARDS ARE TO BE EXPECTED. YOU UNDERSTAND THAT PARTICIPATION CARRIES WITH IT CERTAIN INHERENT RISKS THAT CANNOT BE ELIMINATED COMPLETELY, RANGING FROM MINOR INJURIES TO CATASTROPHIC INJURIES, INCLUDING DEATH. YOU UNDERSTAND AND AGREE THAT IN CONSIDERATION OF YOUR MINOR CHILD PARTICIPATING IN THE LEGACY ATHLETIC PROGRAM, YOU AND ANY REGISTERED PARTY, THE HEIRS, PERSONAL REPRESENTATIVES OR ASSIGNS OF YOU OR THE REGISTERED PARTY DO HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT N OT TO SUE LEGACY TRADITIONAL SCHOOL FOR ANY AND ALL LIABILITY FROM ANY AND ALL CLAIMS ARISING FROM PARTICIPATION IN THE EVENT BY YOU AND/OR YOUR MINOR CHILD.
3. Limitation of Liability; Disclaimer of Warranties.
LEGACY TRADITIONAL SCHOOL SHALL NOT BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES, RESULTING FROM (A) THE USE OR THE INABILITY TO USE LEGACY TRADITIONAL SCHOOL OR (B) FOR THE COST OF PROCUREMENT OF SUBSTITUTE GOODS AND SERVICES OR (C) RESULTING FROM ANY GOODS OR SERVICES PURCHASED OR OBTAINED OR TRANSACTIONS ENTERED INTO THROUGH LEGACY TRADITIONAL SCHOOL OR (D) RESULTING FROM UNAUTHORIZED ACCESS TO OR ALTERATION OF YOUR TRANSMISSIONS OR DATA, INCLUDING BUT NOT LIMITED TO, DAMAGES FOR LOSS OF PROFITS, USE, DATA OR OTHER INTANGIBLE, EVEN IF LEGACY TRADITIONAL SCHOOL HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. YOU EXPRESSLY AGREE THAT YOUR MINOR CHILD’S PARTICIPATION IN THE ATHLETIC PROGRAM AT LEGACY TRADITIONAL SCHOOL IS AT YOUR SOLE RISK. LEGACY TRADITIONAL SCHOOL EXPRESSLY DISCLAIMS ALL WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT.
You agree to indemnify and hold LEGACY TRADITIONAL SCHOOL harmless from and against any and all damages, costs, claims or demands, including reasonable attorneys' fees, made by any third party due to or arising from or relating to your child’s participation in the Legacy Traditional Athletic Program or the violation of any term of this Agreement and Waiver.
5. Applicable Law; Consent to Jurisdiction
You further expressly agree that this Agreement and Waiver is intended to be as broad and inclusive as is permitted by the law of the State of Arizona and that if any provision of this Agreement and Waiver shall be found to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and Waiver and shall not affect the validity and enforceability of any remaining provisions.
BY INDICATING YOUR ACCEPTANCE OF THIS AGREEMENT AND WAIVER, YOU ARE AFFIRMING THAT YOU HAVE READ AND UNDERSTAND THIS AGREEMENT AND WAIVER AND FULLY UNDERSTAND ITS TERMS. YOU UNDERSTAND THAT YOU ARE GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. YOU ACKNOWLEDGE THAT YOU ARE SIGNING THE AGREEMENT AND WAIVER FREELY AND VOLUNTARILY, AND INTEND BY YOUR ACCEPTANCE TO EFFECT A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
If, in the judgment of any representative of the school, the above student should need immediate care and treatment as a result of any injury or sickness, I do hereby request, authorize, and consent to such care and treatment as may be given said student by any physician, athletic trainer, nurse, or school representative. I do hereby agree to indemnify and save harmless the school and any or hospital representative form any claim by any person on account of such care and treatment of said student.
If, between this date and the beginning of athletic competition, any illness or injury should occur that may limit this student's participation, I agree to notify the school authorities of such illness or injury.
I hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct. Failure to provide truthful responses could subject the student in question to penalities determined by the UIL.