DST Waiver: general 2020/21

Applicable to: SwimActive D group: ENTRY level D group FUNdamentals Stage 1 FUNdamentals Stage 2 C group B group FUNdamentals Stage 3 A group

I, as parent or guardian of my minor child/ren (athlete(s) named below), give permission for him or her to participate as a member and swimmer with the Duncan Swim Team Society, also known as Duncan Swim Team ("DST").  DST uses the District of North Cowichan's ("Municipality ") Cowichan Aquatic Centre, including pools, decks, change rooms and parking lot (the "facilities"). As part of my athlete's participation with DST, and in exchange for allowing my athlete, as a member and swimmer with DST to use the facilities, I hereby assume all risk and agree to accept full responsibility and liability for any damages or injuries I or my athlete(s) may cause or suffer arising out of participation with DST or as a result of or arising out of the use of the facilities.

 

I hereby agree to be fully liable for and agree to waive, release, and indemnify DST, its directors, officers, employees, agents and members, and the Municipality from any and all injuries, costs, damages, and claims arising out of or resulting from any injury, death, loss of property, or damage to property which I or my athlete may sustain as a result of participation with DST or use of the facilities, including travel to and from the pool and dry-land training sessions, swim meets, and any other scheduled team activities.

 

I am aware of and accept the risks associated with participation in the DST and use of the facilities and hereby acknowledge that my athlete(s) named below is/are physically fit and capable of participation in all DST activities.

 

I hereby give my permission for any supervisor, coach or other team administrator associated with DST to seek and give appropriate medical attention for my athlete in the event of accident, injury, or illness. I agree to be responsible for any and all costs associated with any necessary medical attention or treatment.

 

 

Swimmer Name: _________________________

 

SIGNED: ________________________________                                DATE: ______________________

 

NAME: _________________________________

 

 

By agreeing to the online form with the Duncan Swim Team Registration, this is considered equivalent to signing to the above.