Dodgeball Adult Authorization

  • (18 years and older)

  • Please provide the following information and sign as indicated in each section below.

  • Should it be necessary for me to have medical treatment while participating in the SchoolPower DodgeBall Tournament, I give my permission to the SchoolPower staff or volunteers to seek emergency treatment.

  • I understand that activities at the SchoolPower Dodgeball Tournament will be photographed or videotaped, including but not limited to a team photo of each team which I can choose to be in. I give my permission for these photos/videos of me to be used in publicity (e.g., social media, newsletters, website, newspaper) without compensation.

  • Every effort is made to provide participants with a safe, enjoyable, and memorable experience. I attest and verify that I am physically able to participate in all activities offered at the SchoolPower DodgeBall Tournament. I understand, however, that there are inherent risks in participating in an indoor DodgeBall Tournament, and, knowing the risks, nevertheless, I agree to ASSUME ALL RISKS OF PERSONAL INJURY, PERMANENT, TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGE TO PERSON OR PROPERTY OR DEATH, sustained while I participate in, attend, prepare for or travel to and from the SchoolPower DodgeBall Tournament, including the risk of negligence of the SchoolPower and/or Laguna Beach Unified School District staff or volunteers, or hidden, latent or obvious defects in the facilities or equipment used.

    I agree if any claim for personal injury or wrongful death is commenced against SchoolPower and/or Laguna Beach Unified School District (including its officers, directors, members and/or volunteers), I will defend, indemnify and hold harmless SchoolPower and/or Laguna Beach Unified School District from any and all claims or causes of action for personal injuries, property damage, or wrongful death that hereafter accrue, arise out of, result from, or are caused directly or indirectly by my participation at the SchoolPower DodgeBall Tournament.

    I have read and I understand this Waiver and Hold Harmless provision.

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