|
INFORMED CONSENT AIVO ASSUMPTION OF RISKS
<br />The Department of Parks and Recreation provides a wide variety of activities and programs for persons of all ages in a sate and
<br />pleasant environment. However, there are certain inherent risks in almost every activity. Please read the following informed
<br />consent categories to acquaint yourself with the risks involved. If you are making a determination that you child is able to
<br />participate in any activity, it is your responsibility to assess your child's maturity, healtNtitness and ability to obey safety rules and
<br />decide if the risks associated with these activities are acceptable to you. While the County of Hawai'i hopes that every participant
<br />enjoys an injury -free activity, by your signing this Release of Claims form, you assume all risks associated with the activity for
<br />which you have registered your child. Please ask any questions of the instructor which you may need to make a fully informed
<br />decision for your child to participate.
<br />Certain sport activities, such as football, basketball, baseball and volleyball may have physical contact. All contact sports
<br />necessarily and unavoidably carry with them the risk of high speed collisions with other persons, balls, and equipment. In addition,
<br />irregular playing surfaces may be present and a child may be at risk for falling or minor lacerations. There are, therefore, risks of
<br />orthopedic, dental, cervical, spinal, head or other types of injury. There is also the risk of lacerations and other Injury from
<br />falling and/or colliding with people or objects.
<br />In addition, all sports require a level of fitness and health that only your physician can determine you or your child possesses. We
<br />strongly urge that you obtain medical advice as to whether contact sport activities are suitable for your child'. Many
<br />undetected or chronic diseases such as cardiac disease or high blood pressure may be worsened by participation in these
<br />activities.
<br />Activities such as ceramics, painting, or cooking are examples of types of activities which may involve supplies or ingredients
<br />which may be toxic when ingested, inhaled or when coming in contact with skin. There may also be allergic reactions or
<br />individual sensitivity to these supplies or ingredients when Ingested, inhaled, or when in contact with skin.
<br />Swimming at the beach or pool is another activity with inherent risks involved.
<br />-- _
<br />RELEASE OF CLAIMS AND INDEMNIFICA77ON _�__ ^^ ��
<br />In consideration of permission granted to participant by the County of Hawaii, Department of Parks and Recreation, to participate
<br />in the activities listed on the previous page:
<br />I/we hereby release the County of Hawaii, its agents, employees, and independent contractors from all actions, causes of action,
<br />damages, claims, or demands which I, my heirs, personal representatives, or assignees may have against the County of Hawaii,'
<br />and other above -named parties for all injuries, known or unknown, which may incur by my child's participation in the above -
<br />described activity or by my child's use of the above -described Facility.
<br />l/we do further agree that I shag indemnify and save harmless the County of Hawaii, or any of its officers or employees, either
<br />jointly or severally, from any and all claims, demands, damages, loss of service, or expense for property damage and For personal'
<br />injuries or actions brought by a third party resulting or arising from my child's participation in the above -described activity or my
<br />child's use of the Facility.
<br />PARTJCIPANT'S 6 PARENTS CODE OF CONDUCT
<br />I. I will encourage, but not force, my child to participate in any program or event.
<br />2. 1 will remember that children participate to have fun, and that the program/event is for youth, not adults,
<br />3. 1 will pay close attention to the physical conditioning and well-being of my child, and will refuse to jeopardize the health of
<br />any individual for the sake of improving a person's or team's chance to win.
<br />4. 1 will not ridicule or yell at my child or any other participant for making a mistake or losing,
<br />5. 1(& guests) will be positive role models for my child, and encourage sportsmanship by showing respect and courtesy, and
<br />by demonstrating positive support for all staff, players, coaches, officials, and spectators at every game, practice,
<br />tournament, or event.
<br />6. f will respect off icials and their decisions. I will not argue with an official in public, and will not yell, swear or be verbally
<br />abusive. Any discussion or constructive comment shad be done in an unemotional and calm manner.
<br />7. 1 will not engage in any physical or verbal confrontation or altercation before, during or alter any program, game or event,
<br />with officials, coaches, players, staff, or spectators. Doing so shall result in. immediate action by the police and the
<br />Director of the Department of Parks & Recreation.
<br />e. All P&R Activities are drug and alcohol free for participants and adults. Anyone found to be under the influence,
<br />intoxicated, or in possession of any of these will be TERMINATED from participating in the program. The Police and the
<br />Director of the Department of Parks & Recreation will be notified.
<br />I have read and understand the Informed Consent and Assumption of Risks, Release of Claims and Indemnification, and Code of
<br />Conduct on this page 2
<br />Signature of Parent/Legaf Guardian
<br />
|