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MEDICAL CONSENT FORM

IMPORTANT -PARENTS PLEASE READ!!!

To insure the safety of your children when involved in the WCSC Junior Programs/Sailing Camp activities, we are asking that parents fill out both of the following forms for each child. These forms will be filed with the Junior Program Chairman and will be on hand during all program activities. They will also accompany the child on any trips away from the club. The forms must be on file for any junior participating in any event.

AUTHORIZATION TO CONSENT TO TREATMENT OF MINOR

The undersigned parent or guardian of , a minor, does hereby consent to any emergency x-ray, anesthetic medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of any physician and surgeon licensed under the provision of the MedicalPractice Act. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but it is given to provide authority and power on the part of our aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his best judgment may deem advisable; and neither said agent or any organization involved assumes any financial responsibility for exercising this action.
Medical Consent Info:



WESTERN CAROLINA SAILING CLUB PARENTAL CONSENT FORM

And Waiver of Liability - Assumption of Risk - Indemnity Agreement

The undersigned parents or legal guardians (hereafter referred to in the singular) of (herein referred to as the "child") request that the child be allowed to participate at Western Carolina Sailing Club in the Junior Program/Sailing Camp (herein referred to as "the activities"). This agreement shall remain in effect until the Western Carolina Sailing Club Junior Chairman receives written notice of the cancellation of the consent. In return for the child being permitted to take part in the activities and to use the facilities and property of Western Carolina Sailing Club each of us makes the following promises and warrants the truth of the following facts:

1. I am familiar with the programs included in the activities, and I understand officers and certified instructors of Western Carolina Sailing club are available to discuss the activities if I should wish additional information. I also understand I am solely responsible for the arrival and departure of my child at the beginning and end of each day's program. I will not allow my child to remain on the premises of Western Carolina Sailing Club after each day's program without appropriate supervision. I agree Western Carolina Sailing Club will have no responsibility for the supervision of my child at times other than during the scheduled activities. I will inform my child that he/she is expected to cooperate with, and follow the directions of, the persons in charge of the activities and to act in a manner consistent with the spirit of good sportsmanship and respect for the rights of others.

2. My child is in good health, and I know of no reason shy he/she would be incapable of participating in the activities. My child knows how to swim. I will immediately notify the Western Carolina Sailing Club Junior Chairman if a change in my child's health or other condition would affect my child's ability to participate in the activities.

3. WAIVER OF LIABILITY: I waive and release any right I, my heirs, distributees, guardians, legal representatives and assigns may have or acquire to make a claim against, sue, attach the property of or prosecute Western Carolina Sailing Club or any of its members, directors, officers, agents, employees and affiliated organizations (herein referred to as "the releasees") for monetary damages caused by injury to my child or damage to the property of my child or myself arising from my child's participation in the activities and use of the facilities and property of Western Carolina Sailing Club, whether or not the injury or damage results from the negligence or other action, except intentional acts, of any of the releasees.

[Please type your name and date to indicate you have read this paragraph. ]

Liability Waiver Info:

4. ASSUMPTION OF RISK: I am aware that the activities may involve maneuvering a boat, sailboard or other watercraft on deep waters in potentially hazardous conditions which may include, among other things, strong winds and high waves, sudden and unexpected immersion in deep waters and collision with other watercraft or stationary objects such as docks and buoys. With knowledge of the dangers involved, I voluntarily ask that my child be allowed to take part in the activities. I ACCEPT ANY AND ALL RISKS TO ME AND MY CHILD OF INJURY, DEATH AND PROPERTY DAMAGE ARISING FROM PARTICIPATION IN THE ACTIVITIES AND THE USE OF THE FACILITIES AND PROPERTY OF WESTERN CAROLINA SAILING CLUB, WHETHER OR NOT CAUSED BY THE NEGLIGENCE OR OTHER ACTIONS, EXCEPT INTENTIAL ACTS, OF ANY OF THE RELEASEES.

[Please type your name and date to indicate you have read this paragraph. ]

Risk Assumption Info:

5. INDEMNITY AGREEMENT: I agree to indemnify and hold the releasees harmless from any loss, liability, damage or cost, including reasonable attorneys fees, they may incur due to my child's participation in the activities and use of the property and facilities of Western Carolina Sailing Club, whether or not such loss, liability, damage or cost results from the negligence or other action, except intentional acts, of any of the releases.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THE AGREEMENT INCLUDES A WAIVER OF LIABILITY, AND ASSUMPTION OF RISK AND AN AGREEMENT BY ME TO INDEMNIFY THE RELEASEES, AND I SIGN IT OF MY OWN FREE WILL.*

[Please type your name and date to indicate you have read this paragraph. ]

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