Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared during the selected camp. I assume that photos will be taken and video recorded for the summer camp activities. I accept that pictures and videos taken during the camp can be used for promotional material. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.
In case of injury to said child, I hereby waive all claims against Club Med, Echevarri Sports, including all instructors, coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization
As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to the person responsible at the time of the incident and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
Confirmation
BY ACKNOWLEDGING AND ACCEPTING BELOW, I AM CONFIRMING THAT IT WILL HAVE THE SAME EFFECT AS A MANUAL OR ELECTRONIC SIGNATURE.
