Parental Permission & Hold Harmless Agreement - Edgewood Pool & Community Center

Edgewood Pool & Community Center
Parental Permission – Hold Harmless Agreement

1. I give permission for my child(ren) to go swimming in the Edgewood Pool.

2. I am aware of the inherent dangers and risks involved in Swimming, including, but not limited to: bodily injury to the eyes, nose, head, neck or back; sprains, fractures, breaks, or dislocations of the joints or limbs; lacerations, concussions, skin disease, or death. Additional risks include, but are not limited to:

a) Being bumped, kicked, or struck by others in the pool. 

b) Collision with pool facilities (floor, ground, pool, flotation device, etc.).

c) Immersion in water (drowning).

3. I understand that due to the nature of swimming, contagious skin infections may occur. I agree that my child is responsible for personal hygiene, including showering before each session. Furthermore, I agree that my child must report any skin infection to the pool lifeguard staff, and to help prevent its spread as a result of body to body contact. I understand that in the event of a skin infection, my child will not be permitted to physically participate in swimming sessions until free of all contagious infection.

4. In the event of an injury or illness, I give permission for my child to be treated by appropriate emergency medical staff called to the scene. I also give permission for the emergency medical staff to administer any medications as indicated on his/her medical form.

5. I understand that Edgewood Pool & Community Center does not provide a ny accident or medical insurance and that I am required to provide it for myself and my child(ren). I agree that I am financially responsible for any and all medical expenses associated with my or my child’s participation in this program.

6. I agree, on behalf of myself, my child(ren), and our assigns, executors, and heirs, to indemnify, and hold harmless, Edgewood Pool & Community Center, its trustees, officers, agents and employees from any and all liability, damage and claims of any nature arising out of or in any way related to my or my child(ren)'s participation in this program except those things caused by the sole negligence of Edgewood Pool & Community Center.

7. I agree that Edgewood Pool & Community Center is not responsible for personal belongings lost or stolen of myself or my child(ren).

8. I understand that the terms of this agreement are legally binding and certify that I have signed this agreement on my own free will after carefully reading and fully understanding it.

9.  ASSUMPTION OF RISK/WAIVER OF LIABILITY/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19: In consideration for Edgewood Pool and Community Center, its officers, agents, employees, staff, representatives, and independent or sub-contractors or other related parties (“RELEASEES”) permitting me to enter for observation or use the facilities and/or equipment or participate in any program, or other related events or activities at Edgewood Pool and Community Center, the undersigned acknowledges, appreciates, and agrees that: 

Participation includes possible exposure to and illness from infectious diseases including, but not limited to MRSA, influenza, and COVID-19, an extremely contagious disease. According to the Centers for Disease Control and Prevention, senior citizens and those with underlying medical conditions are especially vulnerable. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and I assume full responsibility for my participation; and,  I willingly agree to comply with the stated and customary terms and conditions for participation with regards to protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest staff or official immediately; and,  I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Edgewood Pool and Community Center, their officers, officials, agents,  and/or employees, instructors, staff, subcontractors, independent contractors, other members, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 


I HAVE READ, UNDERSTAND AND AGREE TO THE 1. ASSUMPTION OF RISK, 2. WAIVER AND RELEASE OF LIABILITY, 3. PHOTO RELEASE/QUOTES and 4. ASSUMPTION OF RISK/WAIVER OF LIABILITY/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19: and I FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, NO ORAL REPRESENTATIONS OR STATEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE AND SIGN IT FREELY AND OF MY OWN FREE ACT AND DEED AND VOLUNTARILY WITHOUT ANY INDUCEMENT.