Although precautions are taken to provide proper organization, instruction and equipment for your child's participation at our program, there can be no guarantee of absolute safety against injury and accident. There are elements of risk in any sport or program involving physical activity and risk taking (the "activity(ies)") and the use of any equipment in connection with the activities. I acknowledge that my child may decline to participate in any activity(ies). Any participation by my child in the activity(ies) will be voluntary.
Acknowledgement of Risks: I recognize that there is inherent danger in any activity(ies) which involves physical exertion of risk taking: that although the program may not be strenuous, injuries or medical complications may occur; that certain foreseeable and unforeseeable events unique to each individual activity can contribute to the unpredictability of the activity(ies); and that balance and physical coordination and conditioning may affect the occurrence of accidents, falls, and injuries.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity(ies) which my child will be engaged, both seen and unforeseen, I confirm that my child is physically and mentally capable of participation in the activity(ies) and/or using equipment in connection therewith. I understand that my child will be participating willingly and voluntarily, and I assume full responsibility for personal injury, accidents or illnesses, including death. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. On behalf of myself, my child and any other parent of the child, I assume the risk(s) of personal injury, accidents, and/or illnesses of all kinds and nature, including death.
Authorization: I hereby authorize any medical treatment deemed necessary in the event of any injury to my child while participating in the activity(ies). I will have appropriate insurance or, in its absence, I agree to pay all costs of rescue and/or medical services as may be incurred on behalf of my child. I authorize Terriers to take photographs and/or video of my child participating in the program and to share on their website, social media and other promotional materials.
Release and Hold Harmless: In consideration of my child's participation in the activity(ies), I, for myself, for my child, and for any other parent of the child, do hereby RELEASE AND AGREE TO HOLD HARMLESS Community Investors, The Town of Wellesley, and all owners, directors, officers, employees, and agents from all liability with respect to my child, and I waive any claim for damage arising from any cause whatsoever.
Acknowledgement: In submitting this form, I acknowledge and represent that I have fully reviewed it and understand what it means, and that I submit this document as my free act and deed. No oral representations, statements, or inducements, apart from the foregoing written statement, have been made. I further agree that this Release of Liability shall be construed in accordance with the laws of The Commonwealth of Massachusetts. If any of its terms or provisions shall be held illegal, unenforceable, or in conflict with any law, the validity of the remaining portions shall not be affected thereby to the fullest extent permitted by law. I further state that I agree that I, my child and or respective estates, heirs, administrators, personal representatives, and assigns shall be bound by the same. This agreement may not be altered in any way. *
