Archery Safety Class Registration Form printable pdf download

Archery Safety Class Registration Form

El Dorado Archers

Name ______________________________________________

Adult

Youth (JOAD)

Address ______________________________________ Phone# ____________________________

City __________________________________ State______________________ Zip ______________

Sex:

Male

Female

Age ______________

Safety Class Date ________________________ Instructor __________________________________

Accident Waiver and Release of Liability (AWRL)

I __________________________________(Participant), and I _________________________ (Participant parent or guardian),

hereby give my permission to Easton Sports Development Foundation (“ESDF”), and El Dorado Archers (“EDA”) for my child or

ward to participate in the Youth Archery Program (“Program”).

IN CONSIDERATION of my involvement in the Easton Sports Development Foundation Youth Archery program, I acknowledge

and agree that:

I RISK, BODILY INJURY, INCLUDING PARALYSIS, DISMEMBERMENT, and DEATH, as well as LOSS OF or

DAMAGE TO PROPERTY.

I KNOWLINGLY and FREELY ASSUME ALL SUCH RISK, and

I, FOR MYSELF, and ON BEHALF OF MY HEIRS, ASSIGNS and NEXT OF KIN, HEREBY RELEASE, HOLD

HARMLESS and PROMISE NOT TO SUE EASTON SPORTS DEVELOPMENT FOUNDATION, EASTON ALUMINUM,

THEIR OFFICERS, OFFICIALS, AGENTS, EMPLOYEES, AND/OR VOLUNTEERS, WITH RESPECT TO ANY SUCH

INJURY, PARALYSIS, DISMEMBERMENT, DEATH, and/or LOSS or DAMAGE EXCEPT THAT WHICH IS

RESULTANT OF GROSS NEGLIGENCY and/or WILLFUL OF WANTON MISCONDUCT.

Participant’s Signature _____________________________Date________________________________

Participant’s Name (print) ____________________________________________________________________________

FOR ATHLETES OF MINORITY AGE (Under 18)

This is to certify, as parent/guardian of this participant, I do consent to his/her release of Easton Sports Development Foundation

from any and all liabilities to his/her involvement in the Youth Archery Programs.

Parent/Guardian Signature_________________________ Date_______________________________________________

Parent/Guardian Name (Print) _________________________________________________________________________

MEDICAL AUTHORIZATION

The PROGRAM, and the instructors and officers thereof, have my permission to seek whatever medical

treatment may be necessary for _______________________________________ (Print Name) in the event of

an emergency.

Signature ________________________________________ Date _____________________________

Archery Safety Class Registration Form