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Forms

Acknowledgement of Risk & Hold Harmless Agreement

PLEASE COMPLETE THE FOLLOWING FORMS

✓ Online Registration

✓ Medical Release Form

✓ Acknowledgment of Risk & Hold Harmless Agreement (YOU ARE HERE)

✓ NCHC Definition of a HomeSchool Student-Athlete

✓ Payment of Fees Form

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Note:  Up to 3 athletes can be listed on single form 

Acknowledgement of Risk and Hold Harmless Agreement

I hereby acknowledge that I have voluntarily chosen to have my child (children) participate in the Wichita Defenders Sports Programs (hereinafter called “program”) offered by the Wichita Defenders Homeschool Sports Association.​

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I understand the risks involved in the program. I recognize that the program and its activities involves risk of injury and I agree to accept any and all risks associated with it, including but not limited to property damage or loss, minor bodily injury, severe bodily injury, and death. Furthermore, I recognize that participation in the program involves activities and risks incidental thereto, including but not limited to, transportation related to the program, games, competitions, training, practices, scrimmages, plays, physical contact with other players, limited availability of medical assistance and the possible reckless conduct of other participants. My child (children) participation is voluntarily in the program with my knowledge of the risks involved and I hereby agree to accept any and all inherent risks of property damage, bodily injury, or death.

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In consideration of my child’s (children’s) participation in the program and to the fullest extent permitted by law, I agree to indemnify, defend and hold harmless Wichita Defenders Homeschool Sports Association, its trustees, officers, directors, employees, agents, volunteers and assigns from and against all claims arising out of or resulting from my child’s (children’s) participation in the program. “Claim” as used in this agreement means any financial loss, claim, suit, action, damage or expense, including but not limited to attorney’s fees, attributable to bodily injury, sickness, disease or death, or injury to or destruction of tangible property including loss of use resulting there from. In addition, I hereby voluntarily hold harmless Wichita Defenders Homeschool Sports Association, its trustees, officers, directors, employees, agents, volunteers and assigns from any and all claims, both present and future, that may be made by me, my family, estate, heirs or assigns

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I hereby expressly agree to indemnify, defend, and hold harmless Wichita Defenders Homeschool Sports Association, its trustees, officers, directors, employees, agents, volunteers and assigns for any claim out of or incident to my child’s (children’s) participation in the program.

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I also understand that Wichita Defenders Homeschool Sports Association does not provide any medical or dental insurance or life insurance to cover bodily injury, illness or death, nor insurance for personal property damage or loss.

 

I agree that this acknowledgement of risk and hold harmless is effective for as long as I participate in the program.

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I have read and understand this acknowledgement of risk and hold harmless.​

IF THE PARTICIPANT IS UNDER THE AGE OF 18, THE SIGNATURE OF A PARENT OR GUARDIAN IS REQUIRED BELOW.

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I certify that I have custody of Participant(s) or the legal guardian of Participant(s) by court order.  I have read this agreement and fully understand and agree to its terms.

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