Intro

All participants in Conley Sports, Inc programs MUST HAVE a liability waiver completed and signed by their parent or legal guardian.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Insurance Information
Minor Information

Enter the information for the children for which you are responsible for:



I hereby give my child permission to participate in Conley Sports, Inc activities. I understand that my child will engage in various physical activities while attending the program. I hereby certify that my child is physically able to participate in sports activities. I authorize Conley Sports, Inc to select a physician should my child be confronted with a medical emergency and I cannot be reached. I understand that Conley Sports, Inc provides limited excess accident medical protection for participants. Parents’ insurance is primary. Program protection will pay only those covered medical expenses, which are not paid by parents.

I agree to allow my child to be used in any or all promotional photographs and video.
I agree not to hold Conley Sports, Inc responsible for any articles of clothing, personal belongings, or personal athletic equipment that are lost or damaged by theft, fire, natural disaster or other occurrence.

RELEASE. I understand that accidents and injuries can happen when my child attends Conley Sports, Inc programs. I also understand that my child’s enrollment in a Conley Sports, Inc program is voluntary and my signing of this release agreement is in exchange for my child being permitted to attend Conley Sports programs. I agree, for myself, my child, and heirs, to assume the risks of any injury or death my child might suffer as a result of my child’s conduct or Conley Sports Inc’s negligence while attending a Conley Sports, Inc program. Furthermore, I agree, for myself and my child, to release and discharge Agoura High School and Conley Sports, Inc. and its employees and agents and volunteers from, and expressly waive any and all claims (known or unknown) for, any negligence on their part that might result in personal injury, property damage, death, costs or attorney’s fees. This release of liability waives all claims arising from Conley Sports Inc’s negligence, whether known or unknown by me at this time, and I waive the provisions of Civil Code Section 1542, which says, “A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.” I agree that this Release Agreement is to be interpreted in a way to maximize its enforceability, and that if any portion of this agreement is found to be invalid, the remainder of the Release Agreement remains in effect.

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.