Waiver - Legacy Athletics

Legacy Athletics Waiver

For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged as parent of legal guardian of below mentioned minor (hereinafter “Minor”) hereby grant the permission necessary to allow Minor to participate in the above event to be conducted by Legacy Athletics.
I acknowledge and agree, in my own behalf and on behalf of the Minor, that such participation subjects Minor to the possibility of physical illness or injury (minimal, serious, catastrophic and/or death) and that I, in my own behalf and on behalf of the Minor, acknowledge that the Minor is assuming the risk of such illness or injury by participating in the event. In the event of such illness or injury, I authorize Legacy Athletics to obtain necessary medical treatment for the Minor and hereby, in my own behalf and behalf of the Minor, release affiliates (herein collectively “Releasees”) in the exercise of the authority. I further acknowledge and understand that I will by responsible for any and all medical and related bills that may be incurred on behalf of the Minor for any illness or injury that the Minor may sustain during the event and while traveling to and from the site for the event whether or not the event actually occurs. I, in my own behalf and on behalf of the Minor, further agree to release and hold harmless Releasees from any and all liability for negligence or any other claim, judgment, loss liability, cost and expenses (including, without limitations, attorney’s fees and costs) arising out of or connected with the event, including any claim arising out of or connected with any illness or injury that the Minor may incur or sustain during the event, all activities associated with the event and while traveling to and from the site of the heirs, successors, assignees, executors and administrators against loss form any further claims, demands or actions that may subsequently be brought by Minor and by any person or persons on account of damages of any character loss, damages or costs Releasees may have to pay as a result of any such action, claim or demand. I represent that any medication to which Minor is allergic or is currently taking are listed below. I agree that Minor shall bring medications which Minor is currently taking with him/her to the event and that s/he shall consume the prescribed dosage.

Participant's Name*

First Last

Participant's Age*

Participant's Birthdate*

Participant's Gender*

Participant's Allergies

Participant's Medications

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent's Name*

First Last

Parent's Email*

Parent's Phone*

Emergency Contact*

First Last

Emergency Contact Phone*

Participant's Activity*

Full Year Team
Rec Team
Tumbling
Preschool
Other

Media/Internet Policy

At Legacy Athletics, Inc. we utilize the internet, newspapers and other forms of media to advertise, recruit and post updates about our program. Our Facebook page is very active and is a great way for our program to reach out to the community and new athletes interested in our program.

Please remember that once you are affiliated with Legacy Athletics, Inc. you are representing our program in AND out of the gym. Negative comments, bullying, provocative pictures/language will not be tolerated and are false representations of our program and brand that we all work so hard for. When you are part of our program we expect appropriate behavior in and out of our gym.

By signing below you are allowing Legacy Athletics, Inc. to post and publish photos and videos that may contain images of your child on social media and to other media organizations such as Newspapers. You are also agreeing to the following rules regarding media and the internet.**

Videos are NOT allowed to be posted on any internet sites that contain parts or all of our current competition routines until the season has ended. Please only share videos that your coach has already posted.

Articles and information regarding Legacy Athletics, Inc are not allowed to be submitted or posted to any media organizations or social media without approval from Angie.*

Once registered for Legacy Athletics, Inc. any negative comments, bullying or foul language seen on social media will NOT be tolerated. The program director or a coach will ask you to remove it. Noncompliance can be grounds for dismissal from our program.*

When wearing any apparel from Legacy Athletics, Inc. (including our uniform) any photos and/or videos posted to social media must be tasteful and may not contain any negative, provocative or foul comments.*