As self/parent/guardian, I assume all responsibility and on behalf of myself and my heirs, executors and administrators waive any claim for compensation or damage for injury or illness my family or I incur while at Archery Training Center, Inc. or otherwise in the care or under the instruction or supervision of its instructors or coaches, and hereby agree to indemnify and hold harmless Austin JOAD Archers, Archer Target Archers, as part of Archery Training Center, Inc., its instructors and coaches against any and all claims which may arise from our participating in this program. I also understand that Archery Training Center, Inc. does not carry medical insurance, and that I am responsible for my family's and my own medical insurance and healthcare. I realize that archery is a potentially dangerous activity, and knowing this I agree to my family's and my participation in the archery activities. In the event that I cannot be reached or am unable due to injury or illness to make arrangements for emergency medical attention at the time of illness or accident, I hereby authorize Archery Training Center, Inc. to call 911 to provide urgent care to members of my family or to me.
My signature below indicates that I have read, understand the above policy and agree to comply with its provisions. Parent(s)/Guardian(s) must sign for junior archers under the age of 18.
If there is more than one junior archer, please fill in multiple names.
Health issues:If you or someone in your family who will be participating in archery have any health issues that require special attention or would be of concern when engaging in this sport, it is important that we know, so we can react more appropriately if something happens. Please tell us what they are, and what additional treatment would be necessary. In the event that you or someone in your family has health issues that may need special attention while participating in or observing our archery classes, practice sessions, or tournaments, we require a member of your family who can render or request immediate and necessary treatment to remain in the range at all times with the person. We also reserve the right not to instruct you or allow you to shoot in the range or classes if you are on blood-thinning medication, as bruising of the arm often occurs when practicing archery, and this can result in sudden, uncontrollable bleeding for those on this medication. It is for your own protection!
Anything you'd like to tell us?It is very important and helpful for us as instructors and coaches to know of any medical, physical, mental, emotional, sensory, attention, language or learning challenges the archer may have, so that we can coach more appropriately.
Archery Training Center, Inc., Range address: 10203 Old Manchaca Rd., Austin, TX 78748Mailing address: PO Box 93216, Austin, TX 78709E-mail: firstname.lastname@example.orgTel: 512 975 1850www.archerytrainingcenter.comMember of USA ArcheryCertified AISD, EISD, DSISD Off-Campus PE Agency