I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.
I recognize that severe injuries including permanent paralysis or death can occur in sports or activities involving height or motion, those activities including but not limited to tumbling and soccer. Being fully aware of these dangers, I hereby give consent for my child(ren) to participate in any and all Coerver Coaching NW programs and activities and I ACCEPT ALL RISKS associated with this participation. In consideration for my or my child(ren)'s participation I hereby, for myself and my child(ren) and our respective heirs and successors COVENANT NOT TO SUE and FOREVER RELEASE Coerver Coaching NW, its officers, director, shareholders, employees, contractors and volunteers from all liability resulting in damages or injuries incurred as a result of participation including those resulting from acts of negligence. In any event of an accident or emergency I hereby authorize my child to be transported to a hospital for medical treatment and I hold Coerver Coaching NW and its representatives harmless in the execution of such. Additionally I hereby agree to individually provide all medical expenses which may be incurred to myself or child(ren) as a result or any injury sustained while participating in a Coerver Coaching NW program.
I have read and understand this assumption of risk, waiver of liability, and medical authorization, and I voluntarily affix my name in agreement.
I understand that Coerver Coaching NW may take photographs, video and other image and sound based media of the Coerver Coaching NW program, including its employees, students, and visitors. Coerver Coaching NW may wish to use such photographs for educational, promotional, advertising, and other purposes. This permission for release, without compensation or prior notice, would allow for Coerver Coaching NW to use photographs and it's printed publications, during presentations, and otherwise.
Therefore, I hereby freely and voluntarily consent to the use and publication of my name, participation, picture, and/or likeness by Coerver Coaching NW and/or its employees and/or agents for any and all purposes including, but not limited to, educational, promotional, advertising, and trade, through any medium or format, including, but not limited to, video tape, audio tape, film, photograph, television, radio, digital, internet, theater, or exhibition, at any time from this date forward until I revoke this consent in writing. I further waive any claims against Coerver Coaching NW and/or its employees and or agents based upon or related to its use or publication of my likeness, voice, participation, and/or picture.
I freely give this authorization without exception of compensation.
To revoke this consent in writing, please contact Coerver Coaching NW at 13007 4th Ave S, Seattle, WA 98168