Cool Kids' Committee, Inc. - Basketball Mentoring Program Waiver and Release Form
Waiver and Release Form for Cool Kids Committee, Inc. Liability Release and Parental Consent Form In consideration of the acceptance of my application for the above program, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance CKC, Inc. Basketball Program, Mentoring Program, its officials, officers, employees, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.
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Parental Consent I give consent for my child _______________________________ to participate in the above activities, and I execute the above liability release on their behalf. Consent for Treatment I hereby give my consent to have the above applicant treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in the above activity. It is understood that Cool Kids Committee, Inc. will provide no medical insurance for such treatment, and that the cost thereof will be at my expense. I have read and understood the foregoing registration liability release and parental consent form, and agree to all of its terms and conditions.
By entering your full name in the box below, you are effectively providing your legal signature, indicating that all the information on this form is true and accurate, to the best of your knowledge, and you agree to the statements above.
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