PDF Archive

Easily share your PDF documents with your contacts, on the Web and Social Networks.

Share a file Manage my documents Convert Recover PDF Search Help Contact



Jus Beginners Waiver .pdf


Original filename: Jus Beginners Waiver.pdf
Title: Microsoft Word - Jus Beginners Waiver.docx

This PDF 1.3 document has been generated by Word / Mac OS X 10.9.3 Quartz PDFContext, and has been sent on pdf-archive.com on 01/12/2014 at 07:23, from IP address 192.136.x.x. The current document download page has been viewed 808 times.
File size: 577 KB (4 pages).
Privacy: public file




Download original PDF file









Document preview


 

Jus Beginners Youth Training
Information/Waiver Form

Full Name ________________________________

Gender ______________

Date of Birth ____________________ Age ______

Parent/Guardian (1) _____________________

Grade _________

(2)________________________

Address _______________________ City ___________________ State _______

Mobile Phone _________________________

Email Address _____________________________

*Activities we present within this program can cause injury if the proper training techniques and caution are not
followed and applied. When you play sports and train for sporting events, there is an inherent danger in doing so.
Some activities presented herein are inherently dangerous. It is not intended as a substitute for formal instruction by
certified or licensed instructors or physicians in the respective activity, nor is it intended for medical, nutritional or
certification claims. Prior to undertaking the activities presented herein, please seek appropriate training and/or
certification from a licensed or certified professional. Not all activities or exercise programs are suitable for everyone.
Please consult your doctor before participating in these or any other sports activities, and discontinue any activity that
causes discomfort. By agreeing to the training, you hereby release and discharge Jus Beginners Youth Training, its employees,
affiliates, and participants of the materials contained herein from any and all liability, claims, demands or causes of action that
you may have for injuries and damages arising out of the activities, advice or information contained herein.

 

 
Primary Emergency Contact

In case of an emergency, and I am unable to pick my child
______________________ up at the required time, I authorize
___________________________ to act in my behalf.
Emergency Contact Number _______________________

Medical Treatment Authorization

I ____________________________, certify that I am the legal guardian
of said child _____________________________ and herby authorize any
and all medical care necessary to be rendered by any medical personnel
qualified to do so in efforts to preserve life, limb or the general
health and welfare of my child.

Signature _______________________ Date ______________
Medical Insurance Carrier _________________________
Policy/ID # ______________________

*Activities we present within this program can cause injury if the proper training techniques and caution are not
followed and applied. When you play sports and train for sporting events, there is an inherent danger in doing so.
Some activities presented herein are inherently dangerous. It is not intended as a substitute for formal instruction by
certified or licensed instructors or physicians in the respective activity, nor is it intended for medical, nutritional or
certification claims. Prior to undertaking the activities presented herein, please seek appropriate training and/or
certification from a licensed or certified professional. Not all activities or exercise programs are suitable for everyone.
Please consult your doctor before participating in these or any other sports activities, and discontinue any activity that
causes discomfort. By agreeing to the training, you hereby release and discharge Jus Beginners Youth Training, its employees,
affiliates, and participants of the materials contained herein from any and all liability, claims, demands or causes of action that
you may have for injuries and damages arising out of the activities, advice or information contained herein.

 

 
General Waiver

I agree not to file any formal complaints or claims against
anyone associated with Jus Beginners Youth Training regarding any
injuries that may occur related to the training.
I understand that as a voluntary participant, there are certain
risk including, but not limited to serious injuries and or death.

Jus

Beginners Youth Training is voluntary, and I completely understand and
agree to the guidelines and regulations.
I certify that my child __________________________ is of sound
mind and body and physically capable to participate in the Jus
Beginners Youth Training.

[a] general release does not extend to claims which the creditor
does not know or suspect to exist in his or her favor at the time of
executing the release, which if know by him or her must have materially
affected his or her settlement with the debtor.

Print Name ______________________

[Civ. Code § 1542.]

Date ________________

Signature ___________________________

*Activities we present within this program can cause injury if the proper training techniques and caution are not
followed and applied. When you play sports and train for sporting events, there is an inherent danger in doing so.
Some activities presented herein are inherently dangerous. It is not intended as a substitute for formal instruction by
certified or licensed instructors or physicians in the respective activity, nor is it intended for medical, nutritional or
certification claims. Prior to undertaking the activities presented herein, please seek appropriate training and/or
certification from a licensed or certified professional. Not all activities or exercise programs are suitable for everyone.
Please consult your doctor before participating in these or any other sports activities, and discontinue any activity that
causes discomfort. By agreeing to the training, you hereby release and discharge Jus Beginners Youth Training, its employees,
affiliates, and participants of the materials contained herein from any and all liability, claims, demands or causes of action that
you may have for injuries and damages arising out of the activities, advice or information contained herein.

 

 
School Progress Report Grades

1st Quarter (Winter)

2nd Quarter (Spring)

3rd Quarter (Summer)

**Grades will be checked for each quarter.

4th Quarter (Fall)

If grades aren’t of a

standard suitable to the parent, we will seek assistance and or
tutoring sessions within the school the child is attending to make
sure they are keeping up with their studies.

At no time is a child to

participate with unsatisfactory grades.

*Activities we present within this program can cause injury if the proper training techniques and caution are not
followed and applied. When you play sports and train for sporting events, there is an inherent danger in doing so.
Some activities presented herein are inherently dangerous. It is not intended as a substitute for formal instruction by
certified or licensed instructors or physicians in the respective activity, nor is it intended for medical, nutritional or
certification claims. Prior to undertaking the activities presented herein, please seek appropriate training and/or
certification from a licensed or certified professional. Not all activities or exercise programs are suitable for everyone.
Please consult your doctor before participating in these or any other sports activities, and discontinue any activity that
causes discomfort. By agreeing to the training, you hereby release and discharge Jus Beginners Youth Training, its employees,
affiliates, and participants of the materials contained herein from any and all liability, claims, demands or causes of action that
you may have for injuries and damages arising out of the activities, advice or information contained herein.

 


Jus Beginners Waiver.pdf - page 1/4
Jus Beginners Waiver.pdf - page 2/4
Jus Beginners Waiver.pdf - page 3/4
Jus Beginners Waiver.pdf - page 4/4

Related documents


jus beginners waiver
forest home waiver
registration packet complete 2
producer ag4 contract sl
cocreadingassignmentch1
turbulence training 4 week bww rebranded


Related keywords