Dynasty Track Club
PARENT/GUARDIAN LIABILITY WAIVER FORM
This Liability Waiver Form must be completed and signed by the parent or guardian for each athlete before participation in any Dynasty Track Club athletic practice, activity, event, or meet.
FOR AND IN CONSIDERATION OF the mutual promises, covenants, conditions, representations, and warranties contained herein, and for other good and valuable consideration, the receipt and legal sufficiency of which are hereby acknowledged, it is agreed as follows:
I am the parent/legal guardian. By my signature I hereby give my consent for the above-named child to participate in practices, track meets, road races, travel, and other activities sanctioned, sponsored, and/or attended by Dynasty Track Club (DTC). I authorize the Head Coach, Coaches or Staff members to sign the standard athlete’s release forms, CCYTL, GRPA, USA Track & Field (USATF) documents when entering my child in any sanctioned events.
Should I (or my child) decide to withdraw from participation with Dynasty Track Club and its activities, I agree to notify DTC in writing or email, that I am withdrawing the above-named child and acknowledge that all REGISTRATION FEES PAID ARE NONREFUNDABLE.
The undersigned hereby releases and forever discharges the Dynasty Track Club (DTC) and all of its Board Members, officers, coaches, and attorneys, from any and all claims, demands, actions, causes of action or suits arising out of any injuries, known or unknown, which have resulted or may in the future result from any DTC sponsored athletic practice, activity, event or meet.
The signee below represents that the above-named child’s Medical History including allergies, medications being taken and physical impairments that will in any way effect the child’s participation have been brought to the attention of Dynasty Track Club in writing on the Medical Acknowledgement/Waiver/Consent and Release form of Dynasty Track Club.
I understand my child will not be covered by insurance provided by Dynasty Track Club and that I either have my own major Medical Insurance Policy or, if not; I will cover the expenses of any injury.
The undersigned hereby assumes all risk of injury associated with any such athletic practice, activity, event or meet and fully indemnifies and holds harmless DTC along with its Board Members, officers, coaches, and attorneys from and against each and every liability, loss, cost, damage, and expense, including attorney’s fees, which DTC along with its Board Members, officers, coaches, and attorneys may incur as a result of any DTC sponsored athletic practice, activity, event or meet. This liability waiver/release applies to the following athlete.