Consent And General Liability Release Form printable pdf download

Consent And General Liability Release Form

CONSENT AND GENERAL LIABILITY RELEASE

AND WAIVER OF CLAIMS

Hamilton Aquatics Club

20 Birchwood Ct.

Princeton Jct., NJ 08550

I, the parent/legal guardian of

do hereby give my

approval of his/her participation in the HAC Swimming Program to be held April 11, 2011 –

August 15, 2011

, do hereby state that I am at least 18

years of age and I wish to participate in the HAC Swimming Program to be held

from

I assume all risks and hazards incidental to this event. I do further release, absolve,

indemnify, and hold harmless the HAC, the organizers, sponsors, supervisors,

volunteers, and officials, their agents, representatives, or assigns. I hereby waive

all claims against HAC, the organizers, the sponsors, supervisors, volunteers,

officials, their agents, representatives, or assigns, for any injury to myself if I am at

least age 18, / or to my child (as applicable) for any loss due to theft of or damage

to my personal property or for any other consequential or incidental damages

caused in any manner whatsoever where any such liability is attributable to the

absence of ordinary or even slight care by the event organizers and the conduct of

this event.

I further state that there is no medical condition which I/my child,

______________

_______________, has that would prevent him/her from participating in this event.

______________________________________

____________

Signature of Parent or Guardian (or participant if age 18 or over)

Date

________________________________

Printed Name

Consent And General Liability Release Form