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REGISTRATION, WAIVERS

Waiver and Release of All Claims
& Assumption of Risk
Please read this form carefully and be aware that in the signing
and participating in this program/activity, you will be expressly
assuming the risk and legal liability and waiving and releasing
all claims for injuries, damages, or loss which you or your
minor child/ward might sustain as a result of participating in
any and all activities connected with and associated with this
program/activity (including transportation services, when
provided).

I recognize and acknowledge that there are certain risks of
physical injury to participants in this program/activity, and I
voluntarily agree to assume the full risk of any and all injuries,
damages or loss, regardless of severity, that my minor
child/ward may have (or accrue to me or my child/ward) as a
result of participating in this program/activity against
WDSRA, including officials, agents, volunteers and employees
(hereinafter collectively referred as WDSRA).

I do hereby fully release and forever discharge WDSDA from
any and all claims for injuries, damages, or loss that my minor
child/ward or I may have or which may accrue to me or my
minor child/ ward and arising out of, connected with, io in Photo/Video Release
any way associated with this program/activity. I hereby authorize and give my consent to WDSRA to
photograph/video my child (or me) or to obtain outside
In the event of an emergency, I understand and authorize photographs/video of my child (or me) participating in
WDSRA staff and officials to secure from any licensed hospital, WDSRA activities/events/programs, and without limitation,
physician and/or medical personnel any treatment deemed
necessary for immediate care for myself or minor/ward and to use such photographs/video in connection with promoting/
agree that I will be responsible for payment of any and all advertising the services, programs, and facilities of WDSRA,
medical services rendered. without consideration of any kind.

SCAN HERE
FOR MORE
INFORMATION

ePACT securely collects the health and emergency contact information. With ePACT, you only need to complete
your child’s information once. Then, on a yearly basis you will simply need to verify that the information is correct.
Need to make a change? You can make changes at any time. We’ll be notified of your updates directly from ePACT.

REGISTER ONLINE AT WWW.WDSRA.COM 49