When you become an online member, add family or player information, or select a specific program you will be prompted to electronically accept the waiver detailed below. You no longer need to send in a printed and signed waiver to our organization.
DISCLAIMER OF LIABILITY & CONSENT FOR MEDICAL TREATMENT (MINOR)
In consideration of my and/or my child or ward’s participation (“Participant”) in any Quaker Valley Recreation Association or one of its subsidiary sponsored events or related activities (collectively, the “Event”), wherever the Event may occur, I agree to assume all risks incidental to such participation (which risks may include, among other things, muscle injuries and broken bones). On my own and/or my child or ward’s behalf, and on behalf of my and/or my child or ward’s heirs, executors, administrators and next of kin, I hereby release, covenant not to sue, and forever discharge the Released Parties (as defined below) of and from all liabilities, claims, actions, damages, costs or expenses of any nature arising our of or in any way connected with my or my child or ward’s participation in the Event and/or any such activities, and further agree to indemnify and hold each of the Released Parties harmless from and against any and all such liabilities, claims, actions, damages, costs or expenses including, but not limited to, all attorney’s fees and disbursements up through and including any appeal. I understand that this release and indemnity includes any claims based on the negligence, action or inaction of any of the Released Parties and covers bodily injury (including death), property damage, and loss by theft or otherwise, whether suffered by me or my child or ward either before, during or after such participation. I declare that I and (if participating) my child or ward are physically fit and have the skill level required to participate in the Event and/or any such activities. I further authorize medical treatment for me and/or my child or ward, at my cost, if the need arises. I further acknowledge that the Quaker Valley Recreation Association or any of its subsidiaries reserve the sole right to remove any Participant and/or family member from any and/or all Events. For the purposes hereof, the “Released Parties” are The Quaker Valley Recreation Association, The Ohio River Valley Football Club – The Sentinels, Quaker Valley Softball and Baseball, Sewickley Valley Lacrosse, The Sportrak, PAWest Soccer Association, Quaker Valley School District and the Board of Directors, officers, directors, employees, agents, contractors, sub-contractors, representatives, successors, assigns, owners and lessors of the premises used to conduct the events and the volunteers of each of the foregoing entities.
This Waiver and Permission Form shall be governed by the laws of the Commonwealth of Pennsylvania. I certify that I am 18 years of age or older and, if I am executing this Waiver and Permission Form on behalf of my child or ward, the information set forth above pertaining to my child or ward is true and complete.