Cougar Aquatics Team Waiver

 

 

On behalf of ________________(athlete's name), my minor child, I warrant that my child is in good health and has no condition or defect, which would interfere with his participation in the Capistrano Valley Aquatics Club water polo program.

 

I warrant that both my child and myself are familiar with the risks associated with the participation in an active sport such as water polo and agree and consent to my child's participation in "CVAC". I assume all risks and hazards which are incidental to the conduct of the activities associated with water polo.

 

I hereby release, absolve, indemnify and hold harmless Steve Yancey, Bob Skelley, any assistant coaches, Capistrano Valley High School, Capistrano Unified School District, its officers, directors, employees, agents and any of their sponsors, organizers, and/or supervisors of any and all liability or damage, injury or expense of any kind arising out of or connected with my child's participation in CVAC.  I understand that in case of a medical emergency, my own personal medical plan will be used and have provided a copy of that insurance card.  If I do not have a personal plan, I will be solely responsible for the cost and care of my child. My child's membership in U.S.W.P. will act as the secondary insurance in the case of any injury.

 

I hereby understand that if my child needs emergency treatment and neither I nor his family physician can be contacted, consent is hereby granted for such emergency treatment as may be considered necessary in the opinion of the attending physician.

 

I hereby understand that my child can reduce the risk of serious injury by obeying saftey rules, following a proper conditioning program and maintaining his equipment properly.

 

I HEREBY UNDERSTAND THAT EVEN IF ALL THESE REQUIRMENTS ARE MET AND EVEN IF THE ATHLETE IS IN EXCELLENT PHYSICAL CONDITION, SERIOUS ACCIDENTS MAY OCCUR.  I WARRANT AS A CONDITION OF PARTICIPATION WITH CAT THAT I HAVE READ THIS CONSENT FORM AND KNOWINGLY, ON BEHALF OF MY CHILD, ASSUME ALL THE RISKS ASSOCIATED WITH PARTICIPATING IN ANY WAY WITH CAT.

 

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Parent/Guardian  Signature                                                                    Date

 

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Athlete Signature                                                                                  Date