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.