This is to certify that I, as parent / legal guardian with legal responsibilities for the minor participant identified below, execute the foregoing Parental Consent, Waiver and Release of Liability for and on behalf of said minor participant in consideration of his/her participation in RUSH Field Hockey. Said minor participant has been found physically capable of participating in RUSH Field Hockey and I hereby fully consent to said minor competing in this event sponsored by RUSH Field Hockey, Inc..
I recognize the possibility of injury and illness and I am aware that field hockey is a vigorous team sport that at times involves severe cardiovascular stress and violent physical contact. I understand that field hockey involves certain risks, including but not limited to death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage, and injury to virtually all bones, joints, muscles and internal organs, and that equipment provided for my child’s protection may be inadequate to prevent serious injury. I further understand that field hockey involves a particularly high risk of ankle and knee injury. In addition, I understand that participation at RUSH Field Hockey may involve activities incidental thereto; including but not limited to travel to and from site, off-site travel to other events and activities not affiliated with RUSH Field Hockey, Inc.. Participation at these other events and activities may be at sites that are remote from available medical assistance and there may be possible reckless conduct from other participants. With my consent, my minor child is voluntarily participating in all RUSH Field Hockey and ancillary activities with full knowledge of the possible dangers involved and I hereby agree to accept any and all inherent risks of property damage, personal injury, or death.
I agree for myself, the minor participant and his/her co-parent or guardian, and all other heirs, administrators, executors, successors, assigns, and next of kin, to discharge, release, hold harmless and waive subrogation to RUSH Field Hockey and RUSH Field Hockey, Inc., and its agents, employees, sponsors, volunteers, owners, lessors of the premises and all others that are involved, from any and all damages or liabilities incident to my minor child's involvement or participation in these outlined activities, events or programs as provided above, even if arising from ordinary negligence, to the fullest extent permitted by law. I agree not to sue any of the persons or entities listed above for any of the claims or liabilities that I have waived, released, or discharged herein. I affirm that I have read and fully understand the content of this Parental Consent, Waiver and Release of liability and am freely signing this agreement and that I am giving up my legal rights and/or remedies which may be available to me for the ordinary negligence of RUSH Field Hockey and RUSH Field Hockey, Inc. or any of the parties listed above. I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of this state and agree that if any portion is held invalid, the remainder of the waiver will continue in full force and effect.
WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19
ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT
In consideration of being allowed to participate on behalf of RUSH Field Hockey, Inc. athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:
- Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
- I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
- I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
- I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS RUSH Field Hockey, Inc. their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY CLICKING AND AGREEING FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Name of participant: ___________________________ Participant signature:_____________________________ Date signed: ____________________
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)
This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
Name of parent/guardian: ______________________ Parent guardian/signature:______________________ Date signed: ___________________