BEND SWIM CLUB, INC.
Medical Authorization and Liability Release Agreement

I certify that I am the parent or legal guardian for my child(ren) registering with Bend Swim Club.

I hereby authorize any Bend Swim Club coach, team administrator, or designated representative to seek and consent to appropriate medical treatment for my child(ren) in the event of an accident, injury, or illness during participation in any Bend Swim Club activity. This includes, if necessary, medical evaluation, hospitalization, anesthesia, or surgery, when I am not immediately available.

I understand that I am responsible for any and all costs associated with any medical attention or treatment provided.

I hereby waive, release, and forever discharge Bend Swim Club, its coaches, employees, volunteers, and agents from all claims of liability for injury, loss, or damage to person or property which may arise during participation in Bend Swim Club activities — whether resulting from negligence or otherwise.

I acknowledge that my child(ren) is/are in good health and physically capable of safely participating in all swim team activities.