Terms and conditions

DST Waiver: Road to Recovery 2019/20
Applicable to: Stingrays Summer Camp wk1 D group (entry program) Stage 1 I Can Swim Stage 1 DST Board of Directors: voting Stage 2 D group (full program) Stingrays Summer Camp wk2 DST Board of Directors: non voting I Can Swim Stage 2 A group: gym I Can Swim Stage 3 B group: gym C group: gym DST Staff C group Stage 3 Stingrays Summer Camp wk3 Stingrays Summer Camp wk4 B group SwimActive A group Stingrays Summer Camp wk5

www.duncanstingrays.com

Waiver Form with
“Road to Recovery”

2019 / 2020

I, as parent or guardian of my minor child/ren (athlete(s) named below), give permission for him or her to participate as a member and swimmer with the Duncan Swim Team Society, also known as Duncan Swim Team ("DST"). DST uses the District of North Cowichan's ("Municipality") Cowichan Aquatic Centre, including pools, decks, change rooms, parking lot, and Road to Recovery 's weight and fitness equipment and rooms (the "facilities'.').  As part of my athlete's participation with DST, and in exchange for allowing my athlete, as a member and swimmer with DST to use the facilities, I hereby assume all risk and agree to accept full responsibility and liability for any damages or injuries I or my athlete(s) may cause or suffer arising out of participation with DST or as a result of or arising out of the use of the facilities.

 

I hereby agree to be fully liable for and agree to waive, release, and indemnify DST, its directors, officers, employees, agents and members, the Municipality, and Road to Recovery from any and all injuries, costs, damages, and claims arising out of or resulting from any injury, death, loss of property, or damage to property which I or my athlete may sustain as a result of participation with DST or use of the facilities, including travel to and from the pool and dry-land training sessions, swim meets, and any other scheduled team activities.

 

I am aware of and accept the risks associated with participation in the DST and use of the facilities and hereby acknowledge that my athlete(s) named below is/are physically fit and capable of participation in all DST activities.

 

I hereby give my permission for any supervisor, coach or other team  administrator  associated with DST to seek and give appropriate medical attention for my athlete in the event of accident, injury, or illness. I agree to be responsible for any and all costs associated with any necessary medical attention or treatment.

 

I hereby give my permission for Road to Recovery and its principle operator to share confidential information pertaining to my athlete's physical state with the other coaches of DST in the best interest of my athlete.

 

SIGNED: ________________________________                                DATE: ______________________

 

NAME: _________________________________

 

 

By agreeing to the online form with the Duncan Swim Team Registration, this is considered equivalent to signing to the above.