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Kaizen Golf Academy
Parental Consent Waiver & Release of Liability Form

Parent/Guardian Information

Birthday
Month
Day
Year

Student / Minor Participant  Information

AMERICAN GOLF CORPORATION ("AGC") - SKYLINKS AT LONG BEACH GOLF COURSE ("CLUB")

Birthday
Month
Day
Year

Medical Information - Minor Participant

*if child needs medication during the Activity/Event, a completed Consent to Administer Medication form is required



ASSUMPTION OF RISK, RELEASE AND INDEMNIFICATION AGREEMENT


Assumption of Risk. Representative and participant are aware that the Activity/Event involves inherent risks, dangers, hazards that can result in serious personal injury or death. Representative and Participant are also aware that the Club facilities and/or equipment contain dangers and can cause serious injury or death. Representative and Participant hereby freely agree to assume and accept all known and unknown risks of injury arising out of the Activity/Event, including injury or death that results from Club's negligence, design of the facility and/or equipment, or from any third party.


Release and Indemnity. In exchange for the club allowing Participant to participate in the Activity, Representative, individually and on behalf of Participant as well as any respective family members, heirs beneficiaries, assigns and all parties claiming by, through or under either Representative or Participant, does hereby RELEASE, INDEMNIFY AND HOLD HARMLESS the club, its parent, affiliated and subsidiary companies as well as all of their respective officers, directors, agents, contractors, employees, heirs, successors, assigns, volunteers and guests (the "Released Parties") from all liability for any injury, death, loss or damage connected in any way whatsoever to Participant's participation in the Activity/Event, WHETHER CAUSED BY NEGLIGENCE OF ANY OF THE RELEASED PARTIES OR OTHERWISE, including that which may result, directly or indirectly, in whole or in part, from the negligence or willful misconduct of the Released Parties or any third party, or from the design of the facility and/or equipment, whether on or off the Club's premises and including any transportation.


Medical Consent. Representative hereby gives consent to the Club to obtain all emergency medical care and transportation in order to obtain treatment in the event of injury, as the Club may deem appropriate, and Representative hereby accepts full responsibility for the payment of all costs for same. The release, indemnity and hold harmless provisions set forth hereinabove shall extend to any damage or loss arising out of the medical treatment and transportation provided in the event of an emergency, including the negligent acts or omissions of any health care providers, their agents, employees or representatives.


Property Loss. All personal property brought to the Activity is brought at the sole risk of the Participant as to its theft, damage or loss.


Photograph Release. Representative hereby grants permission to and release the Club to use, without limitation or obligation, photographs, film footage or tape recordings that may include Participant's image or voice for purpose of promoting the Club's programs.


Severability. Any provision or portion of this Agreement found to be invalid by the courts having jurisdiction shall be invalid only with respect to such provision or portion thereof had not been contained herein.


Representative hereby executes this Agreement on behalf of Representative and Participant.


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Date
Month
Day
Year

Parental Consent and Assumption of Risk - KAIZEN GOLF ACADEMY

This form grants permission for your child to participate in Kaizen Golf Academy activities. It also serves as a waiver of liability for injuries. Guardians acknowledge that Kaizen Golf Academy are not responsible for any injuries during practices or activities. While sports carry inherent risks, efforts will be made to ensure a safe environment. 

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  1. I have read and understand the waiver and consent to my child’s participation in the specified sport. I accept that there are risks, including physical contact, equipment-related injuries, falls, weather conditions, and exertion, which may lead to serious injuries. I voluntarily allow my child to participate, fully aware of these risks

  2. I confirm that my child is physically fit and able to participate in this tournament and has no known medical conditions that would prevent or limit their participation.​​

  3. I give consent to Kaizen Golf Academy to take and use photographs and videos of my child for promotional purposes without further consent or compensation.

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