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Waiver ASBB

McKnight PFA After School Basketball Program 2014 – 2015 School Year

PARENT’S APPROVAL AND STUDENT WAIVER

 

I/we have read this information carefully and am aware that by participating in this program, I/we will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damage or loss, to person or property, which I/we or the minor might sustain as a result of participating in any and all activities associated with the McKnight PFA (MCK PFA) After School Basketball Program.

I/we recognize and acknowledge that there may be some volunteer participants who may not have criminal clearances. I/we voluntarily agree to assume the full risk of injuries, damages, or loss, to person or property, regardless of severity which the minor or I/we may sustain as a result of participating in any and all activities associated with the McKnight PFA After School Basketball Program. I/we further agree to waive and relinquish all claims the minor or I/we may have as a result of participating in the McKnight PFA After School Basketball Program against the McKnight PFA, its officers, and volunteers, as well as the North Allegheny School District, its volunteers, officials, employees or sponsors. Further, I/we do hereby release, and forever discharge the McKnight PFA, its officers, and volunteers, as well as the North Allegheny School District, its officials, officers, agents, employees, successors and assigns, heirs, executors and administrators of and from any and all claims, demands, rights, and causes of action of whatsoever kind and nature, arising from, and by reason of, any and all known and unknown, foreseen and unforeseen bodily and personal injuries or damage which may be sustained by the minor or as parents or guardians as a result of or in connection with the minor’s participation in the McKnight PFA After School Basketball Program.

The undersigned do hereby expressly stipulate and agree to indemnify and forever hold harmless the McKnight PFA, its officers, and volunteers, as well as the North Allegheny School District, its officials, officers, agents, employees, successors and assigns, heirs, executors and administrators against loss from any and all claims, demands and actions in law or in equity that may hereafter at any time be made or brought by the minor, the undersigned, or by anyone on behalf of said minor for the purpose of enforcing a further claim for damages on account of any injuries which may be sustained as a result of or in connection with participation in the McKnight PFA After School Basketball Program, and the undersigned hereby waive any and all rights of exemption, both as to real and personal property, to which they may be entitled under the laws of this or any state as against such claim for reimbursement or indemnity.

I do hereby certify that to the best of my/our knowledge and belief minor is in good health. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood and agreed that the undersigned will assume full responsibility for any such action, including payment of costs.

I/we hereby advise that the named minor has had the following allergies, medicine reactions or unusual physical condition, including any allergies, which should be made known to a treating physician or which could limit the named minor’s participation. (If none, please write “None”.):