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Risk Disclosure Agreement

Risk Disclosure Agreement

Please complete the form below. Required fields marked with an asterisk *

This Agreement is entered into by the Whitehall School District, for itself and on behalf of its employees, agents, officers, board members, directors, trustees, instructors, coaches, and any other representatives, including, but not limited to, parents or guardians assisting in the Activities as described below. 

Collectively, Whitehall School District and ("the parents") (enter student and parent or guardian names below) enter into this agreement.

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The District agrees to offer extracurricular activities, events, and programs to the Student, including, but not limited to; sporting events, athletics, band, cheerleading, Handbook or Board Policies, and transportation and lodging to, from, and associated with these activities (collectively “Activities”).
In consideration of the District accepting the Student and in consideration of the services rendered by the District, the Students and Parents hereby:
Voluntarily request that the Student participate in an Activity or Activities;
Represent the Student is fully capable of participating in the Activity or Activities and agree to disclose all known limitations to the District, including, but not limited to; medical conditions, physical limitations, and any other limitation known to the Student or the Parents;
Understand and acknowledge that the Student may not be skilled in one or all of the Activities;
Understand and acknowledge that the District has informed us that certain risks are inherent in some Activities and cannot be eliminated without destroying the unique character of the Activity. These risks may include, but are not limited to; the inherent dangers related to sports, athletic events, hazards of traveling in and to areas without medical services or care, dangers due to the forces of nature (including, but not limited to, avalanches, lightning, fire, inclement weather, exposure, flooding), dehydration, falls, injury caused by malfunction or failure of any equipment, injury or sickness resulting from food, allergies, transportation accidents, and others;
Understand and acknowledge that the foregoing description of risks is incomplete, and these risks and other unlisted, unknown, or unanticipated risks may result in injury or death;
Understand and acknowledge that engaging in any Activity may require a degree of skill and knowledge which the Student may not possess;
Understand and acknowledge that engaging in any Activity may require a participant to listen to any instructions, warnings, or risk assessments of the District, to ask for instruction or clarification whenever needed, and to follow instructions; and
Understand and acknowledge that the District may remove the Student from Activities for any breach of safety policies, or any conduct that the District deems unsafe.
The Student and Parents hereby consent to the Student participating in each Activity in spite of, and with full knowledge of, risks which may be associated with that Activity.
By signing this Agreement, the Student and Parents acknowledge they have carefully read and understand its contents.

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