WASATCH WRESTLING CLUB WAIVER/RELEASE FORM 2023/2024
PARTICIPATION AGREEMENT I am the parent/guardian of the child named below and I agree as
follows:
1. Permission to Participate, Assumption of Risk and Release. I hereby give my permission for my child to
participate in the Wasatch Wrestling Club. I am fully aware of the risks and hazards connected with
participating in the Activity and in participating in sports, generally. I understand that these risks included,
but are not limited to, tripping, falling, colliding with objects or other participants, loss of consciousness,
lacerations, serious neck and spinal injuries, complete or partial paralysis, serious injury to all bones,
joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system, concussions and
even death.
I also acknowledge that the facilities of Wasatch County School District, including but not limited to, the
wrestling room, weight room and football field, contain inherent risks of injury. I voluntarily allow my child
to participate in this Activity, even though I know such Activity may be hazardous for my child.
I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE
OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by my child, or any loss or
damage to property owned by my child, which may result, directly or indirectly, from my child’s
participation in the wrestling affiliated Activity, and I hereby
RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE
Wasatch County School District, its officers, servants, agents, employees, or volunteers (District)
from any and all liability, claims, demands, actions and causes of action arising out of or related to any
loss, damage, or injury, including death, that may be sustained by my child or to any property belonging
to my child while participation in the Activity, on District premises, using District equipment or using
District facilities, unless any such damage or injury is primarily the direct result of negligence or intentional
misconduct of Wasatch County School District, its officers, employees or volunteers.
2. Health Condition. I certify that my child has no medical health conditions that would prevent or hinder
my child’s participation in Wasatch Wrestling Club.
3. Medical Treatment. I understand the District will medical personnel present on campus. I hereby grant
the District permission to authorize emergency medical treatment for my child, if necessary, and I
understand and agree the District assumes no responsibility for any injury or damage that may arise from
medical treatment. I certify that my child has adequate health insurance and/or that I will pay for any
medical costs that may arise directly or indirectly from participating in this Wasatch Wrestling club.
4. Misconduct. I understand and agree that my child may be dismissed from the club for misconduct, as
determined by a Club Coach. Should that occur, I agree to pick up my child immediately and I understand
and agree that no fees shall be refunded. I release the District from any liability should my child leave
District property without the permission or knowledge of District employees or agents.
5. Photo Release. I understand and agree that pictures of my child may be taken during club practices
and events and I hereby permit the District to use pictures of my child to promote the District, its programs
and camps.
6. Jurisdiction. I agree the laws of the State of Utah shall govern this Agreement.
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