Parent Consent/Waiver Form
Participates must fill this form out prior to any workouts.
Email *

KLUB Johnson

Consent/Waiver Form:

I, the Participant and Parent of the participant, hereby acknowledge that I/my child have voluntarily chosen to participate in athletic training activities provided by KLUB Johnson. In consideration of being allowed to participate in these activities, I/we agree to the following terms and conditions:

Assumption of Risk: I understand and acknowledge that participating in athletic training activities involves inherent risks, including but not limited to physical exertion, contact with other participants, equipment-related hazards, and the risk of injury. I voluntarily assume all such risks associated with my participation.

Medical Fitness: I represent and warrant that I am physically and mentally fit to participate in athletic training activities. I acknowledge that it is my responsibility to consult with a healthcare professional regarding my medical condition and obtain any necessary medical clearance prior to engaging in the activities.

Release and Indemnification: I hereby release, discharge, and hold harmless KLUB Johnson, its directors, officers, employees, agents, and volunteers from any and all liability, claims, demands, actions, or causes of action arising out of or related to my participation in the athletic training activities, including but not limited to personal injury, property damage, or loss.

Emergency Medical Treatment: In the event of an emergency or injury during the athletic training activities, I authorize KLUB Johnson and its representatives to obtain medical treatment on my behalf, including emergency medical services, transportation, and hospital care, if deemed necessary. I understand that I am responsible for any associated medical expenses.

Code of Conduct: I agree to abide by all rules, regulations, and instructions provided by KLUB Johnson and its representatives during the athletic training activities. I understand that failure to comply with these guidelines may result in my immediate removal from the activities.

Personal Belongings: I acknowledge that I am solely responsible for the safety and security of my personal belongings brought to the training sessions. KLUB Johnson and its representatives shall not be held liable for any loss, theft, or damage to personal property.

Media Release: I grant KLUB Johnson the irrevocable right and permission to use my name, likeness, photographs, video footage, and other media captured during the athletic training activities for promotional and educational purposes, without compensation or further notice.

Governing Law and Jurisdiction: This waiver shall be governed by and construed in accordance with the laws of the State of  New Jersey. Any disputes arising out of or in connection with this waiver shall be submitted to the exclusive jurisdiction of the courts in New Jersey.

I have read this Athletic Training Waiver Form carefully, and I understand and agree to its contents. I acknowledge that by signing this form, I am giving up certain legal rights and remedies. I voluntarily and knowingly execute this waiver as of the date written below.


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Parents/Guardian's First & Last Name
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Parent/Guardian's Email *
Athletes First Name *
Athletes Last Name *
Parent/Guardian's Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
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