Download Participation Waiver - Support Biola University
ATHLETIC PARTICIPATION/TRYOUT WAIVER/COVENANT NOT TO SUE/ ASSUMPTION OF RISK I, the undersigned, hereby acknowledge that participation in athletic activities involves an inherent risk of physical injury. The undersigned hereby agrees, for the sole consideration of Biola University allowing the undersigned to participate in athletic activities for which the university sponsored or made available any equipment, facilities, grounds or personnel for such activities or to the undersigned while participating in any such programs or activities, to release and forever discharge Biola University, its members officially and individually, and its officers, agents and employees of any and all claims, demands, rights and causes of action of whatever kind or nature, arising from any injuries, damage to property, and the consequences thereof, including death, resulting from participation in any way connected with such athletic activities. Further, in consideration of being allowed to participate in a sport tryout and/or any other related events and activities athletics program at Biola University, the undersigned: 1. 2. 3.
4.
5.
Represents that s/he has not participated in more than one tryout per institution per sport; Understands his/her participation is being granted based upon having passed a medical examination or evaluation administered or supervised by a physician (e.g., family physician or team physician) and that the examination or evaluation was administered within six months prior to participating in the tryout; Acknowledges that since the date of this physical examination s/he is not currently under any restricted physician care for a new injury or medical condition that could lead to injury. (If a new injury or medical issue which affects athletic performance has been sustained or if s/he is currently under the care of a physician for any medical condition or injury, please check this box [____]. If box is checked, an appropriate note from the treating physician indicating diagnosis and appropriateness of sports participation must be provided with this release in order to proceed with a tryout); Acknowledges and fully understands that s/he will be engaging in activities that involve risk of potential serious injury including, but not limited to, possible permanent disability or death, possible severe social and economic losses which might result not only from his/her actions, inactions or negligence, but the actions or negligence of others, the rules of play or condition of the premises or of any equipment used; Understands that s/he is responsible through personal resources or appropriate insurance coverage for any medical costs incurred respective to all the foregoing risk and accepts responsibility for any and all damages resulting from or as a consequence of participation in this tryout opportunity.
Therefore, in consideration of the opportunity to participate in this tryout activity, the undersigned: 1. 2.
3.
Voluntarily and freely assumes all risks of loss, damage, illness, injury or death that may be sustained from participation in university or athletic activities; Covenants to refrain from instituting any claim, demand or cause of action for damages, costs of medical expense or other compensation against Biola University, the Biola Athletics and their officers, agents or employees and agrees to release and hold them harmless from any and all liability to him/her, his/her heirs or next of kin, as a result of his/her participation in any university activities; Has read and understands the content of this waiver release and signs voluntarily.
I, the undersigned, acknowledge that I am at least 18 years of age; OR IF UNDER 18, must have signed permission below from my custodial parent to participate in this tryout. Date: _________________________________________________
Phone number: _____________________________________________________
Sport: ________________________________________________ Student-athlete: ______________________________________________ Print name
Parent/guardian: ______________________________________________ Print name (If student is under 18)
_______________________________________________________
Signature
_______________________________________________________
Signature
4.
5.
Represents that s/he has not participated in more than one tryout per institution per sport; Understands his/her participation is being granted based upon having passed a medical examination or evaluation administered or supervised by a physician (e.g., family physician or team physician) and that the examination or evaluation was administered within six months prior to participating in the tryout; Acknowledges that since the date of this physical examination s/he is not currently under any restricted physician care for a new injury or medical condition that could lead to injury. (If a new injury or medical issue which affects athletic performance has been sustained or if s/he is currently under the care of a physician for any medical condition or injury, please check this box [____]. If box is checked, an appropriate note from the treating physician indicating diagnosis and appropriateness of sports participation must be provided with this release in order to proceed with a tryout); Acknowledges and fully understands that s/he will be engaging in activities that involve risk of potential serious injury including, but not limited to, possible permanent disability or death, possible severe social and economic losses which might result not only from his/her actions, inactions or negligence, but the actions or negligence of others, the rules of play or condition of the premises or of any equipment used; Understands that s/he is responsible through personal resources or appropriate insurance coverage for any medical costs incurred respective to all the foregoing risk and accepts responsibility for any and all damages resulting from or as a consequence of participation in this tryout opportunity.
Therefore, in consideration of the opportunity to participate in this tryout activity, the undersigned: 1. 2.
3.
Voluntarily and freely assumes all risks of loss, damage, illness, injury or death that may be sustained from participation in university or athletic activities; Covenants to refrain from instituting any claim, demand or cause of action for damages, costs of medical expense or other compensation against Biola University, the Biola Athletics and their officers, agents or employees and agrees to release and hold them harmless from any and all liability to him/her, his/her heirs or next of kin, as a result of his/her participation in any university activities; Has read and understands the content of this waiver release and signs voluntarily.
I, the undersigned, acknowledge that I am at least 18 years of age; OR IF UNDER 18, must have signed permission below from my custodial parent to participate in this tryout. Date: _________________________________________________
Phone number: _____________________________________________________
Sport: ________________________________________________ Student-athlete: ______________________________________________ Print name
Parent/guardian: ______________________________________________ Print name (If student is under 18)
_______________________________________________________
Signature
_______________________________________________________
Signature
