By submitting this form, the parent(s) or
guardian(s) assume all risks in connection with the participation of all
individuals listed above in the Trabuco Mesa PTA Marathon Club. You
attest and verify that all individuals listed on this form are
physically fit and able to participate in the Marathon Club. Further,
you acknowledge that is it your responsibility to understand any
inherent risks associated with this activity.
submitting this form, I do hereby certify that to the best of my
knowledge and belief all individuals named above are in good health. In
the event that I, or other parent/guardian, cannot be reached in an
emergency, I hereby give permission to secure proper treatment for my
child(ren). I/we do hereby consent to whatever x-ray, examination,
anesthetic, medical, surgical or dental diagnosis or treatment and
hospital care are considered necessary in the best judgment of the
attending physician, surgeon or dentist and performed by or under the
supervision of the medical staff of the hospital or facility furnishing
medical or dental services. It is further understood that the
undersigned will assume full responsibility for any such action,
including payment of costs.
I/we, as parent(s)
or guardian(s) of the minor(s), do hereby, for my child/children,
myself, my heirs, executors and administrators, release and forever
discharge and hold harmless the California State PTA, the local PTA and
all officers, directors, employees, agents and volunteers of the
organizations, acting officially or otherwise, from any and all claims,
demands, actions or causes of action which in any way arise from the
participation of any individuals listed above in this activity. Note that employees of SVUSD may or not be present at the practices and/or the Final Mile event.
submitting this form, I confirm that I have carefully read and fully
understand its contents. I am aware that this is a release of liability
and signed it of my own free will.