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Special conditions

RELEASE OF LIABILITY AND ASSUMPTION OF RISK

I, as parent or guardian and being over the age of 18 years old desires the child in the above mentioned form to participate in the Lyles Brothers Sports Foundation Sports (LBSF) Camp 2024, which includes engaging in sports and other physical activities, including but not limited to running and swimming, provided by the Lyles Brothers Sports Foundation, Inc., a Florida/Maryland nonprofit organization at Alexandria City High School at 3330 King Street, Alexandria, VA 22302 and the Chinquapin Park Recreation Center & Aquatics Facility at 3210 King Street, Alexandria, VA 22302 (Premises).

I acknowledge that there are inherent and known risks in participating in the Activity, including but not limited to illness, injury, psychological injury, pain, suffering, disability, death, and/or property damage. I am also aware of the highly contagious nature of bacterial and viral diseases, including but not limited to COVID-19 (“Disease”), and the risk that my child or I may be exposed to or contract a Disease by being on the Premises and participating in the Activity.

I acknowledge that my child and I are voluntarily accessing the Premises with the knowledge of the potential dangers involved. In consideration of LBSF allowing my child to enter the Premises and participate in the Activity, I hereby knowingly and intentionally assume all risks associated with the Activity, including but not limited to full and complete responsibility for any injury or accident which may occur to my child in connection with the Activity.

In this regard, I KNOWINGLY AND INTENTIONALLY HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS LBSF, its Board of Directors, officers, officials, agents, and/or employees, other participants, sponsors, and owners and lessors of the Premises (“Releasees”), from any and all claims, now known or hereafter known, of whatever kind I may have resulting in whole or in part from my child’s participation in the Activity, including but not limited to ILLNESS, INUJURY, DISABILITY, DEATH, AND/OR PROPERTY DAMAGE, to the fullest extent permitted by law. I covenant not to make or bring any such claim against LBSF or any other Releasee. This release and waiver shall also be binding on my heirs, administrators, and assigns.

• Medical Release and Authorization

As parent and/or legal guardian, I hereby authorize the diagnosis and treatment by a qualified licensed medical professional of my child if my child is injured or requires medical attention during his or her participation in the Activity. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and/or evacuation. I hereby release, forever discharge, and hold harmless the Releasees from any claim based on such treatment or other medical services to the fullest extent permitted by law.

I am the parent or legal guardian of the minor named above. I have the legal right to consent on behalf of the minor named above and, by signing below, I hereby do consent to the terms and conditions of this Release of Liability. BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE LBSF. 
 

• Confirmation 

BY ACKNOWLEDGING AND SUBMITTING THIS REGISTRATION, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE.