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Girls In Sports
Participant Volunteer Consent, Medical Release and Release from Liability Agreement

(All participants must sign a copy of this form before participating)
 

Thank you for volunteering for WNY Girls in Sports!
We have removed the online waiver at this point.
We will require you to complete and sign a hard copy waiver upon arrival at the event on Saturday, April 9, 2016.
If you are under 18 years of age, you will be required to have a parent sign off on the waiver.
Any questions - please contact Emily at emily.more@uwbec.org


Girls In Sports
Participant Volunteer Consent, Medical Release and Release from Liability Agreement

(All participants must sign a copy of this form before participating)

Please read the following information carefully before signing.
All blanks must be completed.

In consideration for allowing Participant to participate in Camp, I/we, as parents and/or guardians of Participant, agree to the following:
  • Authorize Participant to participate in the Camp for the Camp Dates stated below.
  • Release, indemnify and hold harmless the University at Buffalo Sports Camps, the United Way of Buffalo and Erie County, and any or all other organizations, organizer's, or funders involved with this activity from any and all damages, except for damages caused by the sole gross negligence or intentional misconduct of the University at Buffalo, arising out of the participation of Participant in the Camp.
  • Prior to the commencement of the Camp, I/we were made aware of the nature of the Camp, had sufficient opportunity to inquire further, and understand the Camp has inherent risks and I/we and Participant assume, on behalf of Participant, all those inherent risks.
  • While participating in the Camp, Participant is subject to the policies, rules and regulations of the University at Buffalo Sports Camps. Possession of fireworks, explosives, any weapon, illegal drugs or alcohol is prohibited and cause for immediate expulsion from the Camp. Further, any Participant repeatedly disobeying University policies, rules or regulations may be expelled from the Camp.
  • Authorize University at Buffalo Sports Camps, its employees, clinicians, athletic trainers, nurses and agents (collectively, "Activity Sponsor") the authority to seek, obtain, and approve any medical care and treatment including, but not limited to x-ray examination, anesthetic, medical, dental or surgical diagnosis, or treatment and medical care which may be recommended and provided under the general supervision of any physician or surgeon, for Participant which, in their judgment, is necessary for the health and well-being of Participant during his/her participation in the Camp. I/We further agree that I/we are(am) solely responsible for any costs incurred and agree to hold the University at Buffalo, their employees and agents (collectively, "University") harmless for any liability arising out of any good faith action taken in obtaining medical treatment for Participant.
The above agreements are binding upon us, our estates, heirs, representatives and assigns.

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If you are under 18 years old, you must complete a hard copy form with parent/guardian signature.
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  By checking this box, I hereby acknowledge that I am at least 18 years old and I have read and agreed to all policies and procedures detailed above.   

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