Choose one of these buttons for quick access to your choice of information about leagues, or classes.
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Choose one of these buttons for quick access to your choice of information about leagues, or classes.
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The Edge Application Session Dates:_________________________ Name ____________________________________________________ Address __________________________________________________ City _______________________ State ____ Zip Code ____________ Phone # _____-_____-___________ School ______________________________ Date of Birth / Age ___/___/______ _____ Current Grade ________ Parent/ Legal Guardian’s Name(s)____________________________________________ Height:_______ Weight:________ Injuries /Conditions Affecting Participation: _________________________________ _______________________________________________________________________ Sport(s) Participating In:
Specific Goals:
Waiver and Release of all Claims Please read this form carefully. When you sign this form you waive and release all claims for injuries your child might sustain arising out of their use of the facilities and participation in the activities and programs at Bluffton Family Recreation Center. (BFR)Acknowledge risk injury: As a participant in the activities or programs at BFR, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages or loss which my child may sustain as result of participation or use of such facilities, activities or programs. Waiver, Release & Indemnify: I hereby waive, release and discharge any and all claims I may have or may acquire against BFR, its officers, agents, servants and employees as a result of my or my child’s participation in the fitness center, activities and programs of BFR; and I agree to indemnify and hold harmless BFR, its officers, agents, servant and employees from any and all claims resulting from injuries, damages, and losses, including death, sustained while I or my child are in the fitness center or using BFR facilities, except for willful and wanton misconduct by BFR or its authorized personnel. Emergency Transportation: I grant BFR permission to transport my child for emergency care. This form does not authorize or guarantee treatment upon arrival at the designated source of emergency medical or dental treatment, as each emergency facility sets their own treatment procedures. Parental Signature ____________________________ Date: _________ Participant Signature __________________________ Date: _________ |
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