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 Waiver and Release of Liability & Medical Consent 

SA Beast 

Waiver and Release of Liability & Medical Consent 

READ BEFORE SIGNING

I am the parent or legal guardian of the child named below and understand that there are serious risks involved in participating in this program; and, so that my child may participate in the activities and training provided by SA BEAST, agree to the following:

I agree that, though no medical consent form is required for registration, it is my responsibility to consult with the child’s doctor to ascertain if the child is able to participate, and I certify that the child is physically fit to participate in all SA BEAST training and activities. I understand the nature of SA BEAST training and activities and certify that there are no health-related reasons which preclude the child’s participation. I agree to notify SA BEAST’s managing trainer of my child’s current chronic or acute medical conditions.

The risk of injury to my child from participation in this program is significant. It includes the potential for serious injury, permanent disability, and death. Rules, procedures, and equipment may reduce but not eliminate this risk. Terrain, facilities, temperature, weather, equipment, vehicular traffic, the actions of other people including, but not limited to, participants, volunteers, spectators, coaches, lack of hydration, or dangerous or defective equipment or property may pose a risk to the child. There may be other risks not known or reasonably foreseeable at this time. I understand this and further agree that if at any time I believe conditions to be unsafe, I will immediately end the child’s participation and notify SA BEAST personnel of the unsafe conditions.

I, for myself, and on behalf of my spouse, my child, our heirs, assigns, personal representatives, and next of kin, indemnify, release, and hold harmless SA BEAST, its directors, officers, officials, agents, employees, and volunteers, and if applicable, owners and lessors of premises used to conduct the event (Releasees), with respect to any and all liability, claims, and demands for injury, disability, death, loss, and damage to person or property, incident to my child’s participation in this program, EVEN IF ARISING FROM THE RELEASEES’ NEGLIGENCE, to the fullest extent permitted by law.

I further agree that if, despite this Waiver and Release of Liability, I or anyone on my or my spouse’s, my child’s, or on behalf of my/our heirs, assigns, personal representatives, or next of kin’s behalf makes a claim against the Releasees incident to the child’s participation in this program, I will indemnify, save, and hold harmless the Releasees from all litigation expenses, attorney fees, loss, liability, damage, or costs which may be incurred as the result of such claim.

I grant to the personnel of SA BEAST power to consent to the emergency treatment or hospitalization (including anesthesia) for the child in my absence, in the event of an emergency. I agree that should a medical emergency occur, SA BEAST personnel will attempt to notify me, but that if I cannot be immediately reached by telephone, medical treatment deemed necessary by medical personnel will be authorized. I understand that there is no accident or medical insurance provided for the child with this activity, and I will be solely financially responsible for all medical costs for the child.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

First Participant's Name
First Name*
Middle Name
Last Name*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
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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