EMERGENCY MEDICAL TREATMENT
I, the parent/guardian of the participant(s) give permission for emergency medical treatment of my child if I cannot first be contacted.
ASSUMPTION OF RISK, CONSENT AND RELEASE OF LIABILITY
In consideration of being permitted by Central Athletics., an Iowa corporation (“CA”), to participate in its activities and to use its equipment and facilities, now and in the future, I hereby agree to release, indemnify and forever discharge CA, its agents, owners, members, shareholders, officers, directors, managers, partners, employees, volunteers, manufacturers, participants, lessors, affiliates, its subsidiaries, related and affiliated entities, successors and assigns (the “RELEASED PARTIES”), on behalf of myself, my spouse, my child(ren), my ward(s), my parent(s), my heir(s), assign(s), personal representative(s) and estate as follows: I acknowledge that my participation and my child(ren)/ward(s) in the activities provided in CA’s facility entails known and unknown risks that could result in physical or emotional injury, paralysis, death, or damage to myself and my child(ren)/ward(s), to property or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things and without limitation: death, serious neck and spinal injuries which may result in paralysis, brain damage, damage to bones, ligaments, muscles, tendons and other parts of the body. My participation in these activities is purely voluntary, and I elect to participate in spite of all known, and unknown risks. I hereby voluntarily release, forever discharge, and agree to defend, indemnify and hold harmless RELEASED PARTIES from any and all claims, demands, liability, losses, damages, or causes of action, which are in any way connected with my participation in this activity or my use of CA’s equipment or facilities, including any such claims which allege negligent acts or omissions of RELEASED PARTIES.
Should CA or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this Waiver, Release of Liability, Indemnity and Assumption of Risk Agreement (this “RELEASE”), I agree to indemnify and hold them harmless for all such fees and costs. This means that I will pay all of those attorney’s fees and costs myself. I certify that I have adequate insurance to cover any injury or damage that I may cause or suffer while participating in the activities present at CA, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition that I may have, pre-existing or otherwise. In the event that I file a lawsuit against CAfor any reason, I agree to do so solely in the State of Iowa and I further agree that the substantive law of Iowa shall apply in that action without regard to Iowa’s conflict of law rules.
INJURY POLICY
Our Insurance carrier provides Central Athletics with insurance. ANY and ALL injuries must be brought to the attention of the Manager of Central Athletics staff immediately. Verbal notification to Central Athletics within 72 hours of any medical treatment is needed as a result of circumstances at Central Athletics is required. Following notification, an injury report will be filed with Central Athletics. It is understood that risk of injury is potential to training at Central Athletics. Any and all medical costs associated with any injury is the sole responsibility of the parent/guardian of the participant.
OTHER POLICIES
Photo/Video Release: I/we hereby grant Central Athletics the right to use our photos/videos of me/child for promotional purposes.
Minor Release : If the participant is a minor, as the minor’s parent/guardian, I recognize that I am letting my child(ren)/ward(s) engage in a potentially dangerous activity that could result in serious injury or death, and I assume all of the risk associated with the use of CA’s facility, set forth above, on behalf of my minor child(ren)/ward(s). I agree that this RELEASE is made on behalf of that minor participant and that all of the releases, waivers and promises herein are binding on that minor participant. I represent that I have full authority as Parent or Legal Guardian of the minor participant to bind the minor participant to this Release. If the participant is a minor, I further agree to defend, indemnify and hold harmless CA from any and all claims or suits for personal injury, property damage or otherwise which are brought by, or on behalf of the minor, and which are in any way connected with such use or participation by the minor, including injuries or damages caused by the negligence of RELEASED PARTIES, except injuries or damages caused by the gross negligence or willful misconduct of the party seeking indemnity. I agree to release, defend, indemnify and hold harmless RELEASED PARTIES in the event they are made a party to a lawsuit as a result of my own or my child(ren)/ward(s)’s negligence. Such indemnification shall include attorney’s fees and costs in the event RELEASED PARTIES are required to defend themselves.
I confirm that I have had sufficient time to read and understand this Release in its entirety. I understand that this Release represents the entire agreement between myself and CA (and the RELEASED PARTIES), and is binding on myself and anyone claiming through or under me. I on my own behalf am executing this Release freely and voluntarily without any compulsion on the part of CA or any of the RELEASED PARTIES. In consideration of not being required to sign a new copy of this RELEASE before each visit, I further agree that this RELEASE shall apply to all future visits by me and by the minor participant until he/she is 18 years old in full, including all provisions of this RELEASE. By signing this document, I acknowledge that if anyone is hurt or property damaged during my participation in any of the CA activities, I may be found by a court of law to have waived my or the minor participant’s right to maintain a lawsuit against CA or any RELEASED PARTIES on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood the RELEASE, and I agree to be bound by its terms.
