I do hereby appoint and authorize Mary Wilson as the dive clinic's designated representative as my Attorney-in-Fact to obtain and consent to any and all medical/dental attention and hospital care and treatment, including major surgery, deemed necessary by an appropriate medical/dental provider selected by Attorney-in-Fact for the health and well-being of my child, who is attending the summer diving clinic. I hereby release and exonerate and discharge Mary Wilson and the Summer Diving Clinic, Arapahoe High School and its representatives from any or all actions or causes of actions, known and unknown, from any injuries incurred in the Clinic or on the way to or from the Clinic. This power shall terminate on Friday July 19, 2024. PARTICIPATION IN ATHLETICS INCLUDES A RISK OF INJURY WHICH MAY RANGE IN SEVERITY FROM MINOR TO LONG-TERM CATASTROPHIC TO EVEN DEATH. Although serious injuries are not common in supervised athletic programs, it is impossible to eliminate this risk. Participants can and do have the responsibility to help reduce the chance of injury. PARTICIPANTS MUST OBEY ALL SAFETY RULES, REPORT ALL PHYSICAL PROBLEMS TO THEIR COACHES AND INSPECT EQUIPMENT DAILY.
Mary Wilson and the Summer Diving Clinic do not screen applicants for illness, injury, allergies or other medical conditions that would prevent or limit the participation in the athletics. By signing this Permission Form, I acknowledge that I have read and I understand the above warning. I acknowledge that I do not know of any medical condition which would prevent or limit the participation of this applicant in athletics. I, on my own behalf of this applicant, hereby release Mary Wilson and the Summer Diving Clinic, Arapahoe High School and its representatives from any financial responsibilities or liability arising from injury to this applicant in connection with his or her participation in the summer clinic, including injury resulting from negligence (of any kind) of its representatives of Mary Wilson and the Summer Diving Clinic
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