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JMG Altadena Camp - Swim Waiver of Liability

Swim Waiver of Liability

Name of Student:

Student's Age:

Skill level:

Non-Swimmer

Beginner

Intermediate

Name of Parent(s)/Guardian(s):

E-Mail Address:

Primary Phone:

Secondary Phone:

Are there any physical health concerns we need to know about? If yes, please explain:

Are there any special dietary restrictions? If yes, please explain:

______________________________________________________________________________________

CONSENT AND LIABILITY WAIVER for JMG Altadena Camp Swim Lessons

I give permission for my child to participate in Altadena Camp Swim Lessons. I understand that swimming is a hazardous activity with inherent risks and I assume on behalf of the above-named child all risk of loss, damage or injury arising out of participation in the JMG Altadena Camp Swim Lessons.

On behalf of myself, the above-named child, my heirs, legal representatives and assigns, I hereby knowingly and intentionally hold harmless and release JMG Inc, together with any sponsoring groups or clubs, and their respective directors, officers, agents, affiliates, employees, contractors, officials, sponsors, and volunteers, from and against any and all claims, actions, suits and demands pertaining to or arising directly or indirectly out of any damage, loss, illness, injury, or death as a result of participation in these lessons. I authorize any representative of Focus for Success Foundation to have the participant treated in any medical emergency during participation in swim lessons and agree to pay all costs associated therewith.

_________________________________

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June 2, 2021 9:39 pm PDT

JMG Altadena Camp - Swim Waiver of Liability Uploaded by Matthew Wong - jmgsoccerclub@gmail.com IP 193.36.225.93

June 2, 2021 9:59 pm PDT

Document owner info@jmgsportswise.com has handed over this document to jmgsoccerclub@gmail.com 2021-06-02 21:59:18 - 193.36.225.93