WAIVER & PHOTO RELEASE


GENERAL INFO
ALL INFORMATION FIELDS ARE REQUIRED. PLEASE COMPLETE CAREFULLY AND THOROUGHLY.
Town and/or District *
Select the town or district where your child participates in our programs.
Program *
Select the program in which your child is enrolled.
Child's Name *
Child's Name
Child's Birthdate *
Child's Birthdate
Parent/Legal Guardian Name *
Parent/Legal Guardian Name
Phone *
Phone
WAIVER
I affirm that the participant ("Player") has my consent to participate in any program(s) offered by Kids Choice Sports, LLC. I recognize and acknowledge that there are certain risks of physical injury to participants in these programs, and I agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child or I may sustain as a result of said participation. I understand that there is an element of risk inherent in youth sports, and as parent/legal guardian of the Player, I take full responsibility for his/her actions and physical condition. Furthermore, I understand that certain risks, dangers, and injuries due to things such as inclement weather, slipping, falling, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defect, inadequate or defective equipment, inadequate supervision, instruction or officiating, and all other circumstances inherent to youth sports programs exist. Therefore, it is recognized that it is impossible for Kids Choice Sports, LLC to guarantee absolute safety. I release and agree to indemnify and hold harmless Kids Choice Sports, LCC and its representatives, volunteers, agents, and School District in which program is being held, from all claims or liability for loss, damages and/or injuries, to the named Player and/or any third parties person or property; caused by and resulting from any causes whatsoever.
Waiver Agreement *
By selecting the following checkbox, I am indicating that I have read the above document, I understand it completely, and I agree to the policies and waiver outlined above. This serves as my electronic signature.
PHOTO RELEASE
I hereby give my consent for Kids Choice Sports, LLC to use any photos/videos of myself and/or minor child, in future Kids Choice Sports, LLC or School District brochures, flyers, websites, photos and videos of its programs and their participants, which may be used for promotional and instructional purposes. Furthermore, I understand that all such photos/videos remain the property of Kids Choice Sports, LLC.
Photo Release Agreement
By selecting the following checkbox, I am indicating that I have read the above document, I understand it completely, and I agree to the policies outlined above. This serves as my electronic signature.
Today's Date *
Today's Date