I assume all risks of my child participating in the Stone Ridge School Squash Program. Without agreeing to this form by the check box provided, my child will not be able to participate in Stone Ridge School Squash Program, lessons, clinics, match plays and/or tournaments. I acknowledge that the activities and programs of the Stone Ridge School Squash Program may pose some risk of significant personal injury to my child and that I undertake and assume this risk for my child.

On behalf of my child, I further waive and release the promoters of the Squash Up and One Life Fitness, any of their insuring entities and their directors, officers, employees, volunteers, agents, representatives, coaches or assigns, as well as the Stone Ridge School Squash Program sponsors, from any and all liability, including but not limited to liability arising from negligence or fault of those entities or persons for any injury or disability which may occur as a result of my child’s participation in the Stone Ridge School Squash Program. I am assuming all risks on behalf of my child that may arise from negligence or carelessness on the part of any of the persons or entities being released, as well as from defective equipment, real property or personal property that is owned, maintained or controlled by the above persons and entities.

I CERTIFY THAT MY CHILD IS PHYSICALLY FIT AND SUFFICIENTLY PREPARED FOR PARTICIPATION IN THE ACTIVITIES OF THE STONE RIDGE SCHOOL SQUASH PROGRAM AND THAT THERE ARE NO HEALTH RELATED REASONS OR PROBLEMS WHICH WOULD PRECLUDE THE PARTICIPATION OF MY CHILD IN THE ACTIVITIES OF THE STONE RIDGE SCHOOL SQUASH PROGRAM. I HAVE NOT BEEN ADVISED OF ANY REASON WHICH WOULD LIMIT MY CHILD IN PARTICIPATING IN THE ACTIVITIES OF THE STONE RIDGE SCHOOL SQUASH PROGRAM.

I AGREE TO HAVE MY CHILD WEAR PROTECTIVE EYE WEAR AT ALL TIMES WHILE ON COURT, AND TO USE PROPER SQUASH SHOES AND RACQUETS.

I consent to any medical treatment deemed advisable for an injury to my child while he or she is participating in the activities of the Stone Ridge Squash Program, and that any medical or other insurance for myself and/or my child will be insurance of first resort before contribution by any other insurance for any other person or entity, including accidental death and dismemberment insurance and accident medical insurance.

I understand that my child may be photographed while participating in the Stone Ridge School Squash Program. I agree to allow my child’s photo, video, or film likeness to be used for any legitimate purpose by Squash Up, One Life Fitness, sponsors, coaches, and their assigns.

I shall defend, hold harmless, and indemnify the above parties from and against all losses, claims, damages, costs or expenses (including reasonable legal fees, or similar costs) in connection with any action or claim brought or made (or threatened to be brought or made), for, or on account of any injuries or damages, received or sustained by myself and/or my child arising during the activities of the Stone Ridge School Squash Program.

I certify that I am the parent or guardian of the child(ren) whom I am registering in the Stone Ridge School Squash Program and that I have read this document. I fully understand its contents. I am aware that this is a release and indemnification of liability for my child, and I agree to it of my own free will.