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© 2017 KG Sports Club, LLC

I, the undersigned participant/parent or guardian of the participant, recognize and acknowledge that activities at the “KG Sports Club, LLC”, located at 2570 Greenwood Lane, Ste B Cameron Park, CA 95682 involve risk of serious injury, including permanent disability or death, and severe social and economic losses which might result from participant action, inaction, negligence of others, rules of play, or the condition of the premises or any equipment used thereon. Further, I understand that there may be other risks not known or reasonably foreseeable at this time and that such risks shall be assumed by the undersigned.

 

In my absence, I authorize the instructor, coach or owner of KG Sports Club, LLC to call for emergency rescue should they be necessary in the case of injury or suspected injury, or during the times that the above named individual is participating in an activity at KG Sports Club, LLC. I authorize the attending physician at the hospital to administer necessary emergency medical care to the above individual upon arrival at the hospital. I will accept responsibility for the payment of any and all treatment provided therein including emergency rescue services.

 

I certify that the above named is capable of participating safely in the activities at KG Sports Club, LLC. I understand that the owners of KG Sports Club, LLC do not provide accident, health, or life insurance coverage for the above named participant during program participation. I further understand that I am legally responsible for actions of the above named individual including, but not limited to, any damage to private or public property. I am legally responsible for my own and/or my child’s welfare and actions including personal needs and medical expenses. I agree to indemnify and hold the owners of KG Sports Club, LLC and its representatives harmless from any loss, damage, or injury which may result from me or my child’s participation in activities at KG Sports Club, LLC. This release of liability and indemnity applies equally to losses, damages, or injuries caused or alleged to be caused in whole or in part by the negligence of the owners of KG Sports Club, LLC. I further agree to release, waive and discharge, and covenant not to sue the owners of KG Sports Club, LLC for any claims, demands, or actions whatsoever arising out of any damage, loss, or injury incurred on or to me or my child as a result of my participation or my child’s in activities at KG Sports Club, LLC. This release of liability and indemnity applies to me, the undersigned, or my child, as well as any personal representatives, assigns, heirs and next of kin.


I have read and fully understand the effect of the relinquishment of the rights that I hereby waive. Additionally, I have read and fully understand the Batting Cage Rules and Regulations. 


Only one form required per family. Enter all minor participants in the "Participants First Name" field. Record will be saved under the Parent/Gardian Name.


Waiver of Liability and Release for use of Batting Cages

Participants First Name

Participants Last Name

Parent/Gardian First Name

Parent/Gardian Last Name

Phone Number

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Email Address

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