Athletics Liability Waiver Form

ATHLETICS LIABILITY WAIVER FORM

Participant Information

Date of Birth:

Position / Program Information

Program Start Date:     Expected End Date:

Emergency Contact

Medical Information

Physician Name:    Phone:

Employment History (Most Recent)

Employment History (Previous)

Education

Graduation Date:

Professional References

Legal Disclosures

At-Will Employment: Participation in athletics or related programs does not alter the at-will nature of employment or affiliation unless a written agreement signed by an authorized representative expressly states otherwise.

Equal Opportunity: The organization provides equal opportunity for participation in athletics and related programs without discrimination based on protected characteristics. Any concerns regarding discriminatory treatment should be reported in writing to Human Resources.

Waiver, Assumption of Risk, and Release of Liability

I, the undersigned participant, acknowledge that participation in athletic activities, training, competitions, travel, and related events involves inherent risks, including but not limited to serious bodily injury, disability, or death, and damage to or loss of property. I knowingly and voluntarily assume all risks associated with such participation, whether known or unknown, foreseeable or unforeseeable.

In consideration of being permitted to participate, I hereby release, waive, discharge, and covenant not to sue the organization, its trustees, officers, employees, agents, volunteers, coaches, and assigns (collectively "Released Parties") from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, or death that may be sustained by me or my property during participation, whether caused by the negligence of the Released Parties or otherwise.

I agree to indemnify, hold harmless, and defend the Released Parties from and against any claim, demand, loss, liability, or expense (including reasonable attorneys' fees) arising out of or resulting from my negligent or intentional acts or omissions while participating.

Medical Authorization and Insurance Acknowledgment

I authorize representatives of the organization to obtain emergency medical care for me if I am unable to do so. I understand that the organization does not assume responsibility for payment of medical or ambulance services and that I am solely responsible for all medical expenses incurred as a result of participation. I certify that I have adequate personal health insurance coverage or financial resources to cover medical costs.

Photography and Media

I grant the organization and its authorized representatives the right to photograph, videotape, and record my participation and likeness and to use such media for promotional, educational, or archival purposes without further permission or compensation, unless I check the box below to decline.

I decline permission for use of my image as described above.

Authorizations and Certifications

I authorize the organization to contact my prior employers, references, and educational institutions for purposes of verification and background review.

I consent to criminal background checks and other screenings as required by the organization or governing athletic bodies.

I have read, understand, and agree to comply with all team, facility, and safety rules and policies provided verbally or in writing.

Applicant Certification

I certify that all information provided on this form is true and complete to the best of my knowledge. I understand that falsification or omission of material information may result in denial of participation or disciplinary action. I further certify that I am physically able to participate, or, if not, I have disclosed limitations above.

Signature

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