WAIVER AND RELEASE OF LIABILITY
This Sports & Extracurricular Activity Waiver and Release of Liability ("Waiver") is executed by the undersigned parent or legal guardian ("Parent") on behalf of the minor student identified below, in connection with participation in athletic or extracurricular activities organized by
__________
. By signing this Waiver, Parent acknowledges the inherent risks of physical activity and agrees to the terms of release, medical authorization, and liability waivers set forth herein pursuant to the laws of the State of California.
1. PARTICIPANT INFORMATION
- Student Legal Name: __________
- Date of Birth: __________
- Grade: __________
- School / Organization: __________
- Governing Law State: State of California
2. ACTIVITY DETAILS
- Activity / Sport Name: __________
- Season / Activity Dates: __________ to __________
- Activity Location / Facility: __________
3. RISK ACKNOWLEDGMENT AND ASSUMPTION OF RISK
I understand and acknowledge that participation in __________ carries inherent risks of physical injury, including but not limited to sprains, fractures, concussion, and in rare cases, catastrophic injury or death, and I voluntarily assume all such risks.
4. RELEASE OF LIABILITY AND HOLD HARMLESS
In consideration of being permitted to participate in __________, the undersigned, on behalf of themselves, the participant, and their respective heirs, executors, and assigns, hereby releases, waives, discharges, and covenants not to sue __________, its officers, employees, coaches, volunteers, and agents (collectively, the "Released Parties") from any and all liability, claims, demands, or causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant while participating in this activity, to the fullest extent permitted under the law of California.
The undersigned further agrees to indemnify and hold harmless the Released Parties from any loss, liability, damage, or cost arising out of the participant's participation, except where caused by the gross negligence or willful misconduct of the Released Parties, to the extent such exclusion is required by applicable law.
5. EMERGENCY MEDICAL TREATMENT AUTHORIZATION
The undersigned authorizes __________ staff, coaches, or on-site medical personnel to secure and administer emergency medical treatment, including transport to a medical facility, for the participant in the event the undersigned cannot be reached, and agrees to be financially responsible for any costs of such treatment not covered by insurance.
No known medical conditions, allergies, or health insurance details were reported at the time this Waiver was submitted.
6. PHOTO / MEDIA RELEASE
The undersigned consents to __________ photographing or filming the participant during this activity and using such images or footage in school publications, websites, or promotional materials.
7. GOVERNING LAW AND SEVERABILITY
This agreement shall be governed by and construed in accordance with the laws of the State of California, without regard to its conflict of law principles. If any provision of this agreement is found to be unenforceable, the remaining provisions shall continue in full force and effect.
8. SIGNATURE AND ACKNOWLEDGMENT
BY SIGNING BELOW, THE UNDERSIGNED REPRESENTS THAT THEY ARE THE PARENT OR LEGAL GUARDIAN OF THE MINOR PARTICIPANT WITH FULL AUTHORITY TO SIGN, HAS READ AND UNDERSTOOD THIS WAIVER IN ITS ENTIRETY, AND VOLUNTARILY AGREES TO ALL TERMS HEREIN ON THEIR OWN BEHALF AND ON BEHALF OF THE PARTICIPANT.
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SIGNATURE OF PARENT/GUARDIAN
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__________
PRINT NAME
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October 23, 2026
DATE
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