Waiver Player's Name First Name Last Name Grade * 6th 7th 8th Player's Instagram Account Only fill this out if you and your child is ok with us tagging her/him Waiver * Assumption of Risks: Physical activity, by its very nature, carries with it certain dangers and risks that cannot be eliminated regardless of the care taken to avoid injuries. Student Athlete Academy (SAA) has facilities for various sport specific and related activities such as strength training and running. Some of these activities involve strenuous exertions of strength using various muscle groups, some involve quick movements involving speed and change of direction, some involve contact with equipment, other participants (including participants that are older or younger and who may be larger or smaller (in terms of weight and height) than Participant), and various surfaces (which may be uneven), and others involve sustained physical activity which places stress on the cardiovascular system. .The specific risks vary from one activity to another, but in each activity the risks range from (1) minor injuries such as scratches, cuts, bruises, and sprains to (2) major injuries such as loss of sight, loss of teeth, broken bones, joint or back injuries, concussions, and heart attacks to (3) catastrophic injuries including paralysis and death. I also understand that the Participant may expose others, or may be exposed, to contagious diseases such as influenza, chicken pox, measles & Covid-19. Participant and Parent/Guardian have read the previous paragraphs and (1) understand the nature of the activities at SAA, (2) understand the demands of those activities relative to the physical condition and skill level of Participant, and (3) appreciate the types of illnesses and injuries which may occur as a result of activities made possible by SAA. Participant and Parent/Guardian hereby assert that participation is voluntary and that Participant and Parent/Guardian knowingly assume all such risks. Acknowledgement of Rules and Standards of Conduct: I understand that SAA has rules and standards of conduct. I agree to abide by these rules and standards for the safety of Participants, the staff, and the other participants. Acknowledgment of Understanding: Participant and Parent/Guardian have read this agreement to participate and fully understand its terms. Participant and Parent/Guardian acknowledge freely and voluntarily signing the agreement and intend the signatures to signify a complete assumption of the inherent risks of participating in or observing activities at SAA to the greatest extent allowed by law in the State of New Jersey. In signing this assumption of risk as Parent/Guardian, I acknowledge that I am consenting to the participant’s participation at SAA (as specified in paragraph one) and acknowledge that Participant and Parent/Guardian expressly assume all inherent risks of the activity. I agree I don't agree Photos and Images: * Photos and Images: Parent(s) agrees to allow the participant’s name, photograph, voice, image, and information to be used by the SAA for use in publications, promotion materials, social networks, and website, without compensation and without prior notice. Parent also allows the participant to be interviewed by any media on campus or at SAA-related events. Parent(s) releases and holds SAA harmless from any liability stemming from the use of the Student’s name, photograph, voice, image, or information. I agree I don't agree Symptoms * Within the past 24 hours, have you had one or more of the following symptoms: fever, chills, cough, shortness of breath, sore throat, fatigue, headache, muscle/body aches, runny nose/congestion, new loss of taste or smell, nausea, vomiting, or diarrhea? Yes No Covid * Within the past 14 days, have you been diagnosed with COVID-19, had a test confirming you have the SARS-CoV-2 virus, or been advised to self-isolate or quarantine by your doctor or a public health official? Yes No Close Contact * Within the past 14 days, have you had close contact (within six feet) with an individual diagnosed with COVID-19? Yes No Parent/Guardian's Name * Parent/Guardian's Email * Initials * By initialing this form I agree that everything is true and my initials serve as my signature. Thank you!
