LCAC Registration

LCAC Swim Team Registration

1st Child
2nd Child
3rd Child
Liability & Photo/Video Release
 

I, the undersigned participant and parent, request voluntary participation for minor to participate in all events, which are here in after referred to as the“activities” sponsored and hosted by Low Country Aquatic Club.

I consent to my/minor’s participation in the activities and acknowledge that the minor and I fully understand my/minor’s participation may involve risk of serious injury or death, including losses which may result not only from my/minor’s own actions, inactions or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the event or activity is being conducted, and/or the rules of play of this type of event or activity. I understand that if I have any risk concerns, I should discuss the risks associated with my participation with the activity coordinators and event sta , before I sign this document and before any activities begins.

Release – Parents’/Guardians’ Rights:

In consideration of allowing Minor Participant to participate in all activities with Low Country Aquatic Club, I hereby release and hold harmless the Released Parties, of and from, and do discharge and waive, any and all claims, demands, losses, damages, and liabilities that I may have or sustain with respect to any and all damage and/or injury, of any type, arising from Minor Participant’s participation in the activities. I also agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and e ect.

I certify that my/minor is in good health and have no physical condition that would prevent participation in this activity. Furthermore, I agree to use my/minor’s personal medical insurance as a primary medical coverage payment if accident or injury occurs. I consent to emergency medical treatment in the event such care is required.

Indemnification by Parent/Guardian:

The undersigned parent/guardian further agrees to indemnify, save and hold harmless the Released Parties from any and all claims, demands, losses, damages and liabilities for indemnities, contribution or otherwise with respect to any damage and/or injury, of any type, arising from Minor Participant’s participation in the activities. The undersigned also agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasee and is intended to be as broad and inclusive as is permitted by the laws of the State in which the Event(s) is/ are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and e ect.

Check the box below *

I hereby authorize Low Country Aquatic Club(LCAC) to publish any photographs and videos taken of me and/or the undersigned minor children, and our names, for use in the LCAC printed publications, website, and social media platforms.

I release LCAC from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize LCAC to use their photographs, videos.

I acknowledge that since participation in publications, websites, and social media produced by LCAC is voluntary, neither the minor children nor I will receive financial compensation.

I further agree that participation in any publication and website produced by LCAC confers no rights of ownership whatsoever. I release LCAC, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.

Check the box below *
Powered byFormsite