ASSUMPTION AND RELEASE OF LIABILITY:
I/We, being the legal parent(s)/guardian(s) of the named player, do hereby authorize the trained medical personnel of the practice/tournament site, and their duly authorized agent(s), to administer, or request appropriate medical treatment to assure our child’s well-being.
Contact sports are inherently dangerous. The undersigned, on behalf of the undersigned and the undersigned’s child (collectively “Participant”) hereby:
(1) assume the risk of personal injury, all illness including COVID-19, property damage, or other loss (collectively “Injuries”) to the Participant arising from or related to activities at Phoenix Performance Academy (PPA);
(2) release Phoenix Performance Academy, LLC, PPAFHC, and its agents, employees, staff members, officers, directors, and members(collectively “PPAFHC”) from all liability, claims, or responsibility for Injuries or all illnesses, including COVID-19 to Participant;
(3) grant permission for Participants to participate in activities at PPAFHC;
and (4) release PPAFHC from injury arising from any good faith acts or omissions in emergency situations.
As parent/guardian of the above-named participant with the PHOENIX PERFORMANCE ACADEMY participating in various events hosted by various institutions and clubs, including USA Field Hockey events, I authorize to waive, discharge, and covenant not to sue, the PHOENIX PERFORMANCE ACADEMY or any of the affiliated organizations, administrators, participants, sponsoring agencies, sponsors, advertisers or owners, or leasers of premises used to conduct the events, all of whom shall hereinafter be referred to as “releasees” from any Liability to all of the undersigned, his or her heirs and next of kin for any claims, demands, losses, or damages due to injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.
I agree that you may photograph and/or videotape my child or me during sports activities and that you retain the right to use these visual images in future literature for PPAFHC without compensation to my child or me.
I represent that I am over the age of 18 or a parent/guardian of the minor named below and agree that the grant and release contained therein bind me and the minor to all of its terms.
Parent/Guardian Name OR Participant Name over the age of 18.
Thank you for being so cooperative in providing this information. Our goal is to create the best and safest conditions for your child.
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