Sports Waiver

Step 2 of 2

To the best of my knowledge, my child(ren) is(are) in good physical condition and fully able to participate in this course. I am fully aware of the risks and hazards connected with the participation in CBA Sports, including physical injury or even death, and hereby elect for my child(ren) to voluntarily participate in said event, knowing that the associated physical activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by my child(ren), or loss or damage to property owned by me, as a result of participation in this course. I further certify that I am my child(ren)’s parent/legal guardian.

I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, Charleston Bilingual Academy, Friendship Baptist Church and Holmes Avenue Baptist Church, their officers, servants, agents, and employees (hereinafter referred to as RELEASES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or my child(ren), or to any property belonging to me, while participating in physical activity, or while on or upon the premises where the event is being conducted.

It is my expressed intent that this release and hold harmless agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVE, DISCHARGE, and CONVENTION TO SUE the above named RELEASES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be constructed in accordance with the laws of the State of South Carolina.

In signing this release, I acknowledge and represent that I HAVE READ THE FOREGOING Waiver of Liability and Hold Harmless Agreement, UNDERSTAND IT AND SIGN IT VOLUNTARILY as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreements have been made; and I EXECUTE THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FULLY INTENDING TO BE BOUND BY SAME.

Medical Condition(s) of child(ren)

Parent or Legal Guardian Name

First Last

Parent or Legal Guardian Phone Number

Emergency Contact Name

First Last

Emergency Contact Phone Number

TRANSPORTATION AUTHORIZATION FOR SPORTS THAT MEET ON THE FBC CAMPUS (basketball, football, Thursday karate for the 23-24 school year)

By signing here, I give permission for my child to be transported from the HABC campus (4602 Durant Ave) to the FBC campus (5032 Lackawanna Blvd). Students will be driven to the address above on the CBA bus OR in the vehicle of a CBA teacher or staff member. The school’s liability insurance does not cover personal vehicles. The car insurance of each driver covers the passengers in the vehicle. By signing this form, you acknowledge: - understanding of the benefits and risks associated with this trip; - that you have carefully read and signed the FIELD TRIP LIABILITY CONSENT AND RELEASE FORM for the 23-24 school year and agree to its terms knowingly and voluntarily; - that your child has permission to ride on the CBA bus OR in a personal vehicle driven by a CBA teacher or staff member; and - that you are the parent/guardian of the student named on this form.

I confirm that I have carefully read this Consent and Release form and agree to its terms knowingly and voluntarily. I also confirm that I am the parent or legal guardian of the child. This consent and release has been read and is understood by me.(Required)

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