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Tag: Waiver

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  • SayPro Medical Waiver and Consent Form.

    SayPro January SCDR.4.3.4 – Development 5-Day Tennis Camp

    Participant’s Name: __________________________________
    Date of Birth: //____
    Age: _______
    Gender: __________
    Parent/Guardian Name (if participant is a minor): __________________________________
    Emergency Contact Name: __________________________________
    Emergency Contact Phone Number: __________________________________
    Secondary Emergency Contact Name: __________________________________
    Secondary Emergency Contact Phone Number: __________________________________

    Section 1: Medical Information

    To ensure the safety and well-being of all participants, please provide accurate medical details.

    1. Does the participant have any existing medical conditions? (Check all that apply)
    ☐ Asthma
    ☐ Diabetes
    ☐ Epilepsy/Seizures
    ☐ Heart Condition
    ☐ Allergies (Specify Below)
    ☐ Other (Specify Below)
    Details: ____________________________________________

    2. Does the participant have any allergies? (Food, medication, insect bites, etc.)
    ☐ No
    ☐ Yes (Specify): ______________________________________________________

    3. Is the participant currently taking any medications?
    ☐ No
    ☐ Yes (Specify medication and dosage): ______________________________________________________

    4. Does the participant have any physical limitations or injuries that may affect their participation in the tennis camp?
    ☐ No
    ☐ Yes (Specify): ______________________________________________________

    5. Has the participant been hospitalized or undergone surgery in the past year?
    ☐ No
    ☐ Yes (Specify): ______________________________________________________

    6. Does the participant require any special medical accommodations during the camp?
    ☐ No
    ☐ Yes (Specify): ______________________________________________________

    Section 2: Medical Treatment Authorization

    In the event of a medical emergency, I, the undersigned, authorize SayPro and its representatives to seek medical treatment for the participant listed above. I understand that every effort will be made to contact me or the emergency contacts provided before any treatment is administered.

    ☐ I agree to the above medical treatment authorization.

    Parent/Guardian Signature (if participant is a minor): __________________________________
    Date: //____

    Participant Signature (if over 18): __________________________________
    Date: //____

    Section 3: Liability Waiver and Assumption of Risk

    I understand that participation in the SayPro 5-Day Tennis Camp involves physical activity that carries the potential for injury. I acknowledge that SayPro and its staff will take necessary precautions to ensure participant safety, but I accept full responsibility for any risks associated with participation.

    I, the undersigned, hereby release SayPro, its coaches, staff, and affiliates from any liability for injuries, accidents, or medical conditions that may arise during the camp. I also acknowledge that I am responsible for any medical expenses incurred as a result of participation.

    ☐ I have read and agree to the liability waiver and assumption of risk statement.

    Parent/Guardian Signature (if participant is a minor): __________________________________
    Date: //____

    Participant Signature (if over 18): __________________________________
    Date: //____

    Section 4: Consent for Emergency Medical Treatment

    In the event that the participant requires emergency medical attention and I am unable to be reached, I authorize SayPro staff to provide first aid and/or secure emergency medical services, including transportation to a medical facility if necessary.

    ☐ I agree to emergency medical treatment authorization.

    Parent/Guardian Signature (if participant is a minor): __________________________________
    Date: //____

    Participant Signature (if over 18): __________________________________
    Date: //____

    Section 5: Insurance Information (Optional but Recommended)

    Insurance Provider: __________________________________
    Policy Number: __________________________________
    Primary Care Physician Name: __________________________________
    Primary Care Physician Contact: __________________________________

    Section 6: Photo & Video Release Consent

    SayPro may take photographs and videos during the camp for promotional, educational, or training purposes. Please indicate your preference below:

    ☐ Yes, I grant SayPro permission to use my/my child’s photos/videos for promotional purposes.
    ☐ No, I do not consent to the use of photos/videos.

    Parent/Guardian Signature (if participant is a minor): __________________________________
    Date: //____

    Participant Signature (if over 18): __________________________________
    Date: //____

    Submission & Storage

    • This form must be completed, signed, and submitted before the first day of camp.
    • Forms can be submitted online via SayPro’s platform or printed and handed in at registration.
    • All information will be stored securely and only accessed by authorized SayPro staff.

    Conclusion

    The SayPro Medical Waiver and Consent Form is a mandatory document that ensures the safety and preparedness of all participants attending the 5-Day Tennis Camp. It provides critical medical information, establishes emergency treatment authorization, and releases SayPro from liability, ensuring a safe and well-managed sporting experience.

    Would you like to include additional sections, such as dietary restrictions or additional health considerations?

  • SayPro Liability Waiver Template: A document that protects the organization and outlines the risks involved in extreme sports.

    Here’s a SayPro Liability Waiver Template that outlines the risks involved in extreme sports activities and protects the organization:

    SayPro Liability Waiver

    THIS IS A LEGAL DOCUMENT
    Please read carefully. By signing this waiver, you acknowledge that you have read, understand, and agree to the terms and conditions outlined below.

    Participant Information:

    • Full Name:
      • (First Name, Last Name)
    • Date of Birth:
      • (MM/DD/YYYY)
    • Email Address:
      • (Primary Email)

    Assumption of Risk:

    1. Understanding the Risks
      I, the undersigned, understand that participating in extreme sports activities, including but not limited to bungee jumping, skydiving, zip-lining, and other related activities (collectively referred to as “Activities”), involves inherent risks and dangers, including, but not limited to, bodily injury, disability, death, or property damage. I fully accept and assume all such risks, whether caused by my own actions or the actions of others.
    2. Acknowledgment of Physical Fitness
      I acknowledge that I have disclosed any medical conditions, physical limitations, or mental health conditions that may affect my ability to safely participate in the Activities. I affirm that I am in good physical health and mentally prepared to engage in these activities, and I am capable of participating in them without endangering my health or the health of others.

    Waiver and Release of Liability:

    1. Release of Claims
      In consideration of being allowed to participate in the Activities, I hereby waive, release, and discharge SayPro, its directors, employees, agents, volunteers, contractors, affiliates, and any other individuals or entities involved in organizing or facilitating the Activities (collectively referred to as “Releasees”) from any and all claims, demands, causes of action, or damages arising from or in connection with my participation in the Activities, even if caused by the negligence or fault of the Releasees.
    2. Indemnification
      I agree to indemnify, defend, and hold harmless the Releasees from any claims, losses, liabilities, or damages, including attorney’s fees, arising out of or in connection with my participation in the Activities, whether caused by my own actions or the actions of others.

    Medical Authorization:

    1. Consent to Emergency Medical Treatment
      In the event of an emergency, I authorize SayPro staff or medical personnel to administer or seek medical treatment on my behalf if I am unable to provide consent at that time. I understand that I will be responsible for any medical expenses incurred as a result of such treatment.

    Photographic and Video Release:

    1. Media Consent
      I grant SayPro permission to use any photographs, video recordings, or other media taken of me during the Activities for promotional, advertising, or educational purposes. I understand that these materials may be used without compensation or notice.

    Acknowledgment of Understanding:

    1. Acknowledgment of Risks and Terms
      By signing below, I acknowledge that I have read and understood this Liability Waiver in its entirety. I understand the risks involved in participating in the Activities and voluntarily choose to accept those risks. I am aware that by signing this document, I am waiving certain legal rights, including the right to sue.

    Signature:

    • Participant’s Signature:
      • (Signature)
    • Date:
      • (MM/DD/YYYY)

    Parent/Guardian Consent (if participant is under 18):

    • Parent/Guardian Name:
      • (Full Name)
    • Parent/Guardian Signature:
      • (Signature)
    • Date:
      • (MM/DD/YYYY)

    This liability waiver template serves to ensure that participants are fully informed about the risks of extreme sports and voluntarily accept responsibility for those risks, while also protecting the organization from legal liability. The document also includes provisions for medical emergencies and the use of media taken during the activities.

  • SayPro Waiver Form Template: A release form stating that participants accept the risks

    Here is a SayPro Waiver Form Template that participants can sign, acknowledging the risks involved in the camp and releasing SayPro from liability in case of injury:

    SayPro Basketball Camp Waiver and Release of Liability

    Participant Information

    • Full Name: _____________________________________________
    • Date of Birth: ___________________________________________
    • Address:
      Street: _________________________________________________
      City: _________________________________________________
      State: _________________________________________________
      Zip Code: _____________________________________________
    • Parent/Guardian Name (if participant is under 18): ___________
    • Phone Number: _______________________________________
    • Emergency Contact Name: ______________________________
    • Emergency Contact Phone Number: ______________________

    Acknowledgment of Risks

    I, the undersigned, acknowledge that participation in the SayPro Basketball Camp involves certain inherent risks, including, but not limited to, physical contact, falls, collisions, strenuous physical activity, and the possibility of injury. These injuries may include, but are not limited to, broken bones, sprains, strains, concussions, and other health risks associated with physical activity.

    I understand that while SayPro Basketball Camp takes reasonable precautions to minimize these risks, accidents may still occur, and I accept full responsibility for my or my child’s participation.

    Assumption of Risk and Release

    By signing this waiver, I hereby acknowledge and accept the risks involved in participating in the SayPro Basketball Camp. I understand that I or my child’s participation is voluntary, and I assume full responsibility for any injuries, damages, or loss of property that may result from participation in any activities related to the camp, including travel to and from camp activities.

    I, the undersigned, agree that I or my child will not hold SayPro, its coaches, employees, volunteers, or any affiliated parties responsible for any injury or loss sustained during the camp.

    Medical Release

    In the event of an emergency, I authorize the SayPro staff to seek medical treatment for me or my child if necessary. I understand that all reasonable efforts will be made to contact me before medical treatment is provided, but I consent to any treatment deemed necessary by a medical professional.

    Photo and Video Release

    I grant SayPro permission to use photographs, videos, and other media captured during the camp that may include my or my child’s image for promotional, educational, or advertising purposes.

    ☐ I agree to the use of my/my child’s image.
    ☐ I do not agree to the use of my/my child’s image.

    Indemnification

    I agree to indemnify and hold harmless SayPro, its coaches, employees, volunteers, and affiliates from any claims, lawsuits, or demands arising from my or my child’s participation in the camp, including but not limited to any injury, loss, or damage to property.

    Confirmation of Understanding

    I confirm that I have read, understood, and voluntarily agree to the terms of this Waiver and Release of Liability. I understand that by signing this form, I am waiving certain legal rights, including the right to sue SayPro for any injuries or damages resulting from participation in the camp.

    If the participant is under 18 years old, I, as the parent or legal guardian, give my permission for the participant to participate in the SayPro Basketball Camp and agree to the terms outlined in this waiver.

    Signature

    • Participant’s Name: ______________________________________
    • Signature of Participant (if over 18): ________________________
    • Date: ______________________
    • Parent/Guardian Name (if participant is under 18): ___________
    • Signature of Parent/Guardian: _____________________________
    • Date: ______________________

    This waiver serves as a formal acknowledgment that the participant understands and accepts the risks associated with the camp, provides medical authorization in case of emergency, and agrees to release SayPro from any liability for injuries. This is important for ensuring that the camp is legally protected while also prioritizing safety.

  • SayPro Waiver Form: A legal document releasing SayPro from liability

    Here’s a SayPro Basketball Camp Waiver Form template designed to release the camp from liability in case of injury or other incidents during camp activities:

    SayPro Basketball Camp Waiver and Release of Liability

    Participant Information

    • Full Name:
      (First Name, Last Name)
    • Date of Birth (MM/DD/YYYY):
      (e.g., 01/15/2005)
    • Age:
      (Please specify the age of the participant)
    • Gender:
      ☐ Male
      ☐ Female
      ☐ Other
      ☐ Prefer not to say
    • Parent/Guardian Name (If Participant is Under 18):
      (First Name, Last Name)
    • Parent/Guardian Contact Number:
      (Phone number for emergency contact)
    • Parent/Guardian Email Address:
      (Email address)

    Waiver and Release of Liability

    In consideration of being allowed to participate in the SayPro Basketball Camp, I, the undersigned, acknowledge, understand, and agree to the following:

    1. Assumption of Risk:
      I understand and acknowledge that participation in basketball and related activities involves inherent risks, including but not limited to, physical injury, damage to property, or other unforeseen accidents. I voluntarily assume all risks associated with participation in these activities.
    2. Release of Liability:
      I, on behalf of myself (if an adult participant) or my child (if under 18), hereby release and hold harmless SayPro Basketball Camp, its staff, employees, agents, affiliates, and volunteers from any liability, injury, loss, or damage that may occur during camp activities. This release applies to any claims or legal actions that arise due to my or my child’s participation.
    3. Medical Treatment:
      In the event of illness or injury, I consent to the camp’s staff administering first aid and/or seeking emergency medical treatment if necessary. I understand that I will be notified as soon as reasonably possible and will be responsible for any medical expenses incurred during treatment.
    4. Fitness for Participation:
      I affirm that the participant is in good health and physically able to participate in the activities of the basketball camp. I acknowledge that I have provided full disclosure of any known medical conditions, injuries, or physical limitations that might affect the participant’s ability to participate safely.
    5. Insurance Coverage:
      I acknowledge that it is my responsibility to maintain personal health insurance for the participant. I understand that SayPro Basketball Camp does not provide insurance coverage for participants, and any medical treatment required during the camp is at my expense.
    6. Use of Likeness:
      I grant SayPro Basketball Camp permission to take photographs, videos, or recordings of the participant during camp activities. I authorize SayPro to use these materials for promotional purposes, including but not limited to social media, websites, or advertisements, without compensation.
    7. Indemnification:
      I agree to indemnify and hold harmless SayPro Basketball Camp and its representatives from any legal claims, expenses, or damages arising out of my or my child’s participation in the camp activities.
    8. Severability:
      If any portion of this waiver is deemed unenforceable, the remainder of the waiver will remain in full force and effect.

    Acknowledgment and Agreement

    I have read, understand, and voluntarily sign this Waiver and Release of Liability. By signing below, I acknowledge that I am releasing SayPro Basketball Camp from any liability for injury, loss, or damages that might occur during participation in camp activities. I also understand that I am assuming full responsibility for any risks involved in participation.

    • Participant’s Name (Printed):
      (First Name, Last Name)
    • Participant’s Signature:
      (Sign if 18 or older)
    • Date:
      (MM/DD/YYYY)
    • Parent/Guardian Name (If Participant is Under 18):
      (First Name, Last Name)
    • Parent/Guardian Signature:
      (Sign if participant is under 18)
    • Date:
      (MM/DD/YYYY)

    Emergency Contact Information

    • Emergency Contact Name:
      (Full Name)
    • Emergency Contact Relationship:
      (e.g., Mother, Father, Guardian)
    • Emergency Contact Phone Number:
      (Phone number for emergency contact)

    By signing this waiver, the participant and/or their parent or guardian acknowledges and agrees to the terms outlined above. This form must be completed in its entirety and signed prior to participation in the SayPro Basketball Camp.

    This waiver form is designed to protect the camp from liability while ensuring that participants and guardians understand the risks involved in physical activities and acknowledge the camp’s policies regarding safety and medical treatment.