As parent/guardian of the below child, I give permission for my child to be transported in a motor vehicle driven by the Keep Kickin Inc individual identified to an event at the specified location. I understand that my child is expected to follow all applicable laws regarding riding in a motor vehicle and is expected to follow the directions provided by the driver and/or other adult volunteers.
I have read, understand, and discussed with my child that:
They will be traveling in a motor vehicle driven by an adult and they are to wear their safety-belt while traveling;
They are expected to respect each other, the vehicles they ride in, and the people they travel with during the trip;
Riding in a motor vehicle may result in personal injuries or death from wrecks, collisions or acts by riders, other drivers, or objects; and
They are to remain in their seats and not be disruptive to the driver of the vehicle.
I recognize that by participating in this activity, as with any activity involving motor vehicle transportation, my child may risk personal injury or permanent loss. I hereby attest and verify that I have been advised of the potential risks, that I have full knowledge of the risks involved in this activity, and that I assume any expenses that may be incurred in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses. As a condition for the transportation received, I, for myself, my child, my executors and assigns, further agree to release and forever discharge Keep Kickin Inc, its elected governing Board and their agents, officers, employees and volunteers from any claim that I might have myself or that I could bring on my child’s behalf with regard to any damages, demands or actions whatsoever, including those based on negligence, in any manner arising out of this transportation. I have read this entire waiver and permission form, fully understand it, and agree to be legally bound by its terms.
I recognize and accept that unless stated below, this waiver is only valid and binding for the day specified below.
I recognize and accept any and all fees that may be billed to my child in accordance to any transportation provided by Keep Kickin Inc and its representatives and volunteers. I accept that these fees must be paid within 30 days or before participation in the next event, whichever comes first.
All athletes and parent/guardians traveling with a group or requesting individual transportation shall read and understand this waiver. A written waiver of this policy may be issued by Keep Kickin Inc.