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If you are under 17 years old, your parent or guardian needs to complete and electronically sign this waiver. (choose minor below) 

If you are 18 years or older, you may complete and electronically sign this waiver yourself. (choose adult below) 

POLICIES/RULES/REGULATION ACKNOWLEDGEMENT

By signing below, I verify that I have received a copy of Student ACES/SAC policies/rules/regulations listed below and understand that I am responsible for reading the policies/rules/regulations. I understand that my child(ren) or myself must follow the policies/rules/regulation. I understand that any violations of these or any other organization policy, practice or procedure will subject my child(ren) or myself to disciplinary action up to and including expulsion from the organization. I also understand that the policies/rules/regulations may be modified at any time. 

 

AUTHORIZATION FOR MEDICAL TREATMENT
In the event that my child or myself is injured or needs medical care while at the Student ACES/SAC or on a field trip and I/we cannot be reached, I/We authorize the Student ACES/SAC to obtain medical and/or hospital care on an emergency basis and I/we will be financially responsible for such care.

 

PHOTOGRAPH & VIDEO PERMISSION
I hereby grant the Student ACES/SAC, its subsidiaries, successors, assignees and licensees the absolute right and permission to copyright, use, publish and distribute any and all photographs and videos in which my child(ren) or myself, named at the top of this form, may be included for editorial, advertising, art broadcast or promotion, without restriction.

 

PARTICIPATION WAIVER
I/We (student or the parents of the child/ren) referenced at the top of this form understand that Student ACES/SAC makes available organized athletic, recreational and educational activities for its members. I/We (student or the parents of the child/ren) understand that there are always dangers and risks connected with participation in such activities (particularly contact sports) and as Parent(s)/Guardian(s) if the member(s) named at the top of this form, I/We (student or the parents of the child/ren) hereby give (my/our) approval of participation in all activities of the SAC. I/We (student or the parents of the child/ren) understand that the SAC consents to  participation only upon the condition of my/our acceptance of responsibility for any and all such risks and dangers (including any risks associated with transportation to or from the SAC or any SAC activity) and I/We (student or the parents of the child/ren) do hereby release, indemnify and hold harmless Student ACES/SAC, the organizers, sponsors, supervisors, and staff of all its’ activities, from any and all liability in release and hold harmless from any person transporting him/her to or from any Club activities. I have read the completed application, understand the rules of Student ACES/SAC Organization and request that my son/daughter be admitted into membership or participate in program offerings.

 

Please select who will be participating...
AdultMinor
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First Students Name

First Name*

Last Name*

Phone*
First Students Date of Birth*
First Students Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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