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Fall Water Polo 2017
Fall Tiger Water Polo Registration (Not For NA Tiger High School Team)
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Parent/Guardian Information
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Medical and Insurance Information
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Part A - Waiver and Release of LiabilityPart A – Waiver and Release of LiabilityIn consideration of being allowed to participate in any way in the Tiger Water Polo Club sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:1. The risk of injury from athletic activities, minor or serious, does always exist and while particular rules, equipment, and personal discipline may reduce this risk, it does not eliminate the risk of injury and,2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,4. I, the undersigned, declare on my honor that I am an amateur and agree to follow the rules of the Tiger Water Polo Club, obey my coach(es)/team leader(s), tournament officials, and directors. I am in good physical condition and have no disease or injury that would impair my doing my best in competition.5. I hereby authorize any first aid, medication, medical treatment, or surgery deemed necessary in case of an emergency. I also authorize the attending medical personnel to executive on my behalf any permission forms and other appropriate medical documents and act on my behalf if I am not immediately available to do so.6. I hereby consent to allow my picture or likeness to appear in any official documents, sponsor advertisement, and/or exclusive television coverage of the Tiger Water Polo Club in any manner incidental to my participation in the Tiger Water Polo Club without compensation to me.I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING WITH IT, AND AGREE TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. I consent to the above terms of Part A by selecting "I Agree" below * *
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PART B – FOR PARTICIPANTS OF MINORITY AGE (UNDER 18 AT THE TIME OF REGISTRATION)This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child’s involvement or participation in the Tiger Water Polo Club, EVEN IF ARISING FROM THEIR NEGLIGENCE.I consent to the above terms of Part B by selecting "I Agree" below * *
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PART C – Permission to Use Images from the Program That May Include Your Child Picture and video from Spring Water Polo may be taken and posted to our club's web site and perhaps sent directly to program participants during the course of the program. Said media will not include names associated with images and will be used only to represent the updates and activities associated with our program.I consent to the above terms of Part C by selecting "I Agree" below * *
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