Sample Form - Participation Agreement

PARTICIPATION AGREEMENT

A MODEL SPORT AND RECREATIONAL PARTICIPATION AGREEMENT

      I/We ___________________________________ [Insert full name of parent/s or legal guardian in block letters] hereby:

  1. give consent that __________________________________________ [Insert name of child] may participate in the following activities: 
    _______________________________________________________________________________________________________
  2. confirm that the child named above does not have any medical condition that  excludes him/her from taking part in the above activity/ies.
  3. acknowledge that I/we have read and understood the rules of the activity/ies and that I/we are bound by these rules.
  4. acknowledge that I/we have a responsibility and obligation to ensure that my/our child/children understands and abides by the rules of the activity.
  5. I/we understand there are risks associated with my child's participation in the activities listed above that can result in injury.
  6. acknowledge that I/we have read and will abide by the Association's sport and recreational by-laws.
  7. acknowledge that I/we have read and will abide by the Association's Code of Conduct and Child Protection Policy.
  8. consent to the child named above receiving medical treatment and that I/we agree to reimburse the Association for all medical costs.
  9. agree that I/we have read and understood this Participation Agreement.

 

      Signature:                             Witness:                                             Date: