ACTIVITY: Jim Hanley Memorial Futsal Frenzy DATE: Sunday March, 10, 2019
I hereby acknowledge, understand and agree that I will be engaging in activities that involve risk or potentially serious injury including permanent disability and death, and severe social and economic losses which might result not only from my actions, inactions or negligence, but the actions, inactions or negligence or others, or the equipment used. I also acknowledge that it is my responsibility to act in accordance with the rules and regulations set forth by the College.
In consideration for permitting me to participate in the above activity, I agree to release on behalf of myself, my heirs, representatives, executors, administrators, and assigns, Stonehill College, it’s trustees, officers, agents and/or employees from any cause of action, claim(s) or demand(s) of any nature whatsoever which I, my heirs, representatives, executors, administrators, and assigns may now have, or have in the future against the College, its trustees, officers, agents and/or employees (except to the extent the College is negligent) on account of personal injury(s), property damage, death, or accident of any kind, arising out of or in any way related to my participation in the above activity, whether participation is supervised or unsupervised. I also agree to indemnify and hold harmless Stonehill College, its trustees, officers, agents and/or employees from any and all causes of action, claims, demands, losses or costs of any nature whatsoever arising out of my participation in the above activity.
I certify that my child is in good health and fit to participate in athletic activities without restrictions and/or limitations.
In case of medical emergency involving my child/ward, I understand that every effort will be made to contact me to other parent/guardian/alternate person. In the event I or they cannot be reached, I hereby give permission to the physician selected by the College to hospitalize, to secure proper treatment for, and to order injection, anesthesia, surgery or other medical procedure necessary for my child.
STONEHILL COLLEGE * ATHLETIC TRAINING DEPARTMENT * 320 WASHINGTON ST. EASTON, MA. 02357 * PH: 508-565-1514* FAX: 508-565-1988