CPA Camp Series, 2023 Parental Release of Liability Form
I, (Parent/Guardian Name) HEREBY GIVE PERMISSION FOR (Athlete's Name) TO ATTEND AND PARTICIPATE IN THE (CHAMPIONSHIP PERFORMANCE ACADEMY CAMP SERIES) IN FEBRUARY-APRIL 2023. I AUTHORIZE THE STAFF OF CHAMPIONSHIP PERFORMANCE ACADEMY (CPA) TO USE THEIR BEST JUDGEMENT IN ALLOWING MY CHILD TO RECEIVE EMERGENCY MEDICAL OR SURGICAL TREATMENT IF NECESSARY. I UNDERSTAND THAT EVERY EFFORT WILL BE MADE TO CONTACT ME PRIOR TO SUCH ACTION. (PLEASE BE ADVISED THAT IT IS IMPERATIVE THAT YOUR CHILD BE IN GOOD HEALTH WHEN ARRIVING AT CAMP. THE DUTIES OF CAMP PERSONNEL DOES NOT INCLUDE PROVIDING MEDICAL CARE.) I HEREBY: 1.) CERTIFY THAT THE INFORMATION COMPLETED ON THE MEDICAL HISTORY FORM IS ACCURATE AND COMPLETE. 2.) AGREE TO ASSUME ALL RISK OF PERSONAL INJURY ARISING FROM MY CHILD’S PARTICIPATION IN THE ACTIVITIES, UNDERSTANDING THAT THE ACTIVITIES DO INVOLVE THE RISK OF HARM OR INJURY. 3.) AGREE TO RELEASE AND HOLD THE CHAMPIONSHIP PERFORMANCE ACADEMY STAFF MEMBERS HARMLESS FOR ANY INJURY SUSTAINED DURING MY CHILD’S PARTICIPATION IN THE ACTIVITIES. 4.) AGREE NOT TO MAKE ANY CLAIMS OR DEMANDS AGAINST CPA STAFF MEMBERS FOR ANY INJURY SUSTAINED. 5.) AGREE TO ALLOW THE CPA STAFF MEMBERS TO USE HIS/HER BEST JUDGMENT IN OBTAINING NECESSARY MEDICAL CARE, AT THE EXPENSE OF THE PARENT. 6.) AGREE TO ACCEPT ANY DECISIONS MADE BY THE CPA STAFF MEMBERS IN TERMINATING ATTENDANCE DUE TO UNACCEPTABLE BEHAVIOR.
