SMCAA Waiver

SMCAA Waiver & Consent Form
SMCAA

Waiver & Consent Form

San Marino Community Athletics Association — 2026–2027

Minor’s Information
Waiver, Indemnification & Release of Liability
⚠ PLEASE READ CAREFULLY — THIS AGREEMENT AFFECTS IMPORTANT LEGAL RIGHTS

In consideration of the above-designated minor’s participation in events and activities of SMCAA, I, for myself, the above-designated minor, my personal representatives, heirs, executors, next of kin, and assigns, do hereby agree to all of the following:

1. Agree to inspect the facilities and equipment to be used, and if I believe anything is unsafe, I will immediately advise SMCAA authorized personnel and refuse to participate.
2. Acknowledge and fully understand that participation could result in injury, permanent disability or death, and severe social and economic losses due to my own actions or negligence, or the actions of others.
3. Assume all risks and accept personal responsibility for all participation in SMCAA activities. I hereby release SMCAA and all released parties from all liability and will not sue or make a claim against any such released parties.
4. Release, waive and discharge SMCAA, together with their affiliated clubs, administrators, directors, agents, coaches, volunteers, event officials, medical personnel, sponsors, and owners of premises from any and all claims, demands, losses, or damages on account of injury, including permanent disability, death, or damage to property.
5. Acknowledge that this Agreement expressly includes transportation to and from any SMCAA activity or event in any vehicle, including transportation to and from medical treatment.
6. Agree to release, indemnify the releasees, and hold them harmless from any and all liability or costs, including attorney fees, associated with or arising from participation in SMCAA activities.
7. Agree that as parent(s) or legal guardian(s) of the minor participant under 18 years of age, I will instruct the minor to the above warnings and conditions and consent to the minor’s participation.
8. Understand that SMCAA may utilize the name, photograph and/or likeness of any participant in SMCAA communications, website, webcasts, and digital or video recordings. This permission is irrevocable and royalty free.
9. Understand that all participants and parents are subject to the Code of Conduct on the SMCAA website. Failure to abide by the Code of Conduct may result in suspension or expulsion.
10. Understand that this Agreement shall be governed by the Laws of the State of California. All disputes shall be litigated in the County of Los Angeles, State of California.
11. Understand that this Agreement may be terminated only by ceasing participation in all SMCAA activities AND providing written notice to SMCAA, effective 30 days after ceasing participation.
1 Waiver Signature

I have read the above waiver and understand that I give up substantial rights by signing it voluntarily. A photocopy of this Waiver will have the same effect as the original.

2 Authorization & Consent for Medical Treatment

I/we the undersigned parent or legal guardian hereby authorize SMCAA to seek and obtain care and medical treatment as necessary, including x-ray, anesthetic, medical or surgical diagnosis or treatment, and hospital care deemed advisable by licensed medical professionals. Effort shall be made to contact the undersigned before rendering treatment, but treatment will not be withheld if unreachable. This authorization is valid in any state.

2 Medical Authorization Signature

A photocopy of this Authorization will have the same effect as the original.

3 Emergency Contact Information

Mother / Guardian

Father / Guardian

4 COVID-19 Informed Consent Waiver

The novel coronavirus, COVID-19, has been declared a worldwide pandemic. SMCAA requires all league participants to comply with preventative measures to help reduce the spread of COVID-19. SMCAA cannot guarantee that you or your child(ren) will not become infected with any infectious disease including COVID-19, MRSA and influenza.

  • I am aware of the risks of participation in SMCAA activities that may include possible exposure to infectious diseases including COVID-19, MRSA and influenza.
  • I knowingly and freely assume all such risks and assume full responsibility for my and my child(ren)’s participation in all SMCAA activities.
  • I willingly agree to comply with all terms and conditions for participation. Neither I nor any member of my household will visit SMCAA facilities if experiencing symptoms of fever, fatigue, difficulty breathing, or any symptoms related to COVID-19 or any communicable disease.
  • If I, or any member of my household comes in contact with or becomes infected with COVID-19, no member of my household will attend any SMCAA activity for fourteen (14) days.
  • I am fully and personally responsible for my and my child(ren)’s own safety and actions while participating.
  • With full knowledge of the risks involved, I hereby release, waive and discharge SMCAA, its board, officers, employees, representatives, successors and assigns from any and all liabilities arising out of any loss, damage, illness, disability, injury, or death resulting from any infectious disease while participating in any SMCAA activity.
  • I agree to indemnify, defend, and hold harmless SMCAA from and against any and all costs, expenses, damages, lawsuits, and/or liabilities arising from claims due to injury, loss, illness, disability or death related to COVID-19.

By signing, I acknowledge that I have read and understand this COVID-19 Waiver, I am the legal parent/guardian, I have been informed of the risks involved, and give my voluntary consent.