Xtreme Athletics Parental Consent / Child Participation Waiver
We the parents or legal guardian of the applicant do hereby grant permission for our child to attend Xtreme Athletics. We understand that while our child is at Xtreme Athletics, he or she will be trained by Xtreme Athletics, Doug Lytle (Xtreme Athletics’ Owner), and/or Xtreme Athletics staff and employees to safely and correctly engage in the act of pole vaulting. We understand that, as part of this process, our child might engage in the act of pole vaulting. We understand that pole vaulting is a potentially dangerous activity and hereby waive and release any and all rights and claims for damages due to injury or death that may be suffered before, during, and after Xtreme Athletics. We understand that the use of protective equipment such as helmets, pads, or other such devices, may help to reduce the risk of injury, but will not prevent it.
WE HEREBYSTATE THAT XTREME ATHLETICS IS NOT RESPONSIBLE FOR ANY DAMAGES ARISING FROM PERSONAL INJURIES SUSTAINED BY OUR CHILD AS A RESULT OF OUR CHILD’S USE OF THE FACILITIES AND/OR EQUIPMENT OF XTREME ATHLETICS, DOUG LYTLE’S XTREME ATHLETICS, AND/OR ANY OF XTREME ATHLETICS STAFF OR EMPLOYEES.
WE AGREE TO RELEASE AND DISCHARGE XTREME ATHLETICS, DOUG LYLTE’S XTREME ATHLETICS, AND/OR XTREME ATHLETICS’ STAFF OR EMPLOYEES, FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, RIGHTS OF ACTION, OR CAUSES OF ACTION, PRESENT OR FUTURE, WHETHER THE SAME BE KNOWN OR UNKNOWN, ANTICIPATED OR UNANTICIPATED, RESULTING FROM OR ARISING OUT OF OUR CHILD’S USE OR INTENDED USE OF THE FACILITIES AND/OR EQUIPMENT OF XTREME ATHLETICS, DOUG LYTLE, OR XTREME ATHLETIC’S STAFF OR EMPLOYEES.
WARNING: Sports, by their very nature, pose the continuous threat of injury that n type of equipment can ensure against or prevent. Any person not willing to assume the risk of injury inherent in sports activities should not and may not participate in Xtreme Athletics.
We certify that our child has registered with the United States of America Track and Field (USATF.org) as a member prior to arriving at camp, and will provide our child with proof of membership to present to Xtreme Athletics’ staff and/or employees at check in. We hereby grant permission for Xtreme Athletics to use any photographic depictions, video depictions, or other forms of media captured of my child participating in camp activities for educational, advertising, or other purposes.
In the event of a medical emergency, should we be unable to be contacted we hereby authorize Xtreme Athletics, Doug Lytle, and/or Xtreme Athletics’ staff and employees, to seek out and provide the services of any certified physician, nurse, or trainer selected by Xtreme Athletics, Doug Lytle, and/or Xtreme Athletics’ staff and employees
WE AGREE THAT XTREME ATHLETICS’ DOUG LYTLE, AND/OR XTREME ATHLETICS’ STAFF AND EMPLOYEES ARE NOT LIABLE FOR ANY INJURY AND/OR DAMAGE RESULTING FROM, OR ARISING OUT OF, THE CARE PROVIDED BY THE AFOREMENTIONED HEALTH PROFESSIONALS. WE FURTHER AGREE TO RELEASE AND DISCHARGE XTREME ATHLETICS, DOUG LYTLE, AND/OR XTREME ATHLETICS’ STAFF OR EMPLOYEES FROM ANY CLAIM RESULTING FROM, OR ARISING OUT OF, THE AFOREMENTIONED CARE.
BY OUR SIGNATURE, WE, THE UNDERSIGNED, ATTEST, AFFIRM, CERTIFY, AND DECLARE THAT WE HAVE READ AND UNDERSTAND THIS WAIVER IN ITS ENTIREITY.