Behavioral ManagementI understand that:
a) behavior which disrupts the program or poses a threat to the safety of self or others will not be tolerated;
b)
if Participant is unable to self-regulate their behavior then, after
the event sponsor (or its agent) has made a good faith effort to resolve
the issue (and, if Participant is a minor, consult with a parent or
legal guardian), Participant may be removed from the remainder of the
event; and
c) in such case there will be no refund of fees.
Authorization for Medical CareIf
an injury or illness requires, in the opinion of the person in charge,
urgent medical or dental examination or treatment, I authorize and
direct that person (or their agent) to:
a) arrange transportation by car or ambulance to the closest hospital;
b) call the Medical Professional/s named above; and
c) attempt to reach one or more of the other listed contacts.
If
a named Medical Professional is unavailable, I authorize any emergency
treatment deemed necessary by a medical professional licensed for the
required service.
Acceptance of Circumstances & Assumption of RiskI
understand that Westmont College assumes no financial responsibility or
legal liability for medical care or ambulance transportation. I also
verify that the Participant is in sufficient health to be able to
participate in the event identified above. I recognize that all physical
activity has some risk of injury.
Image ReleaseI
authorize the use, in future program publications, of biographical,
image, video or audio content recorded for or during event activities
and include this Participant.
Electronic Signatures
A
signed copy of this waiver submitted via this form shall be deemed to
have the same legal effect as delivery of an original executed copy of
this waiver for all purposes.