Parent & Athlete Waiver | Phenom Sports Academy

PARENT & ATHLETE

WAIVER & RELEASE AGREEMENT

1. ATHLETE & PROGRAM INFORMATION

1. ATHLETE & PROGRAM INFORMATION

Other Academy Program / Activity:

2. ASSUMPTION OF RISK, WAIVER & RELEASE

Voluntary Participation. I understand that participation is voluntary and may include athletic training, practices, camps, clinics, conditioning, strength and performance training, competitions, games, events, and other Academy activities.

Risks of Participation. I understand that sports and physical training involve inherent and other risks, including falls, collisions, contact, overexertion, sprains, strains, fractures, dislocations, bleeding, illness, dehydration, heat-related illness, head injury, concussion, sudden cardiac events, permanent disability, and death.

Athlete Responsibility. I agree that the athlete will follow Academy rules and coach instructions, use required protective equipment, report injuries or concerning symptoms promptly, and stop participation when directed for safety.

Release of Claims. To the fullest extent permitted by California law, I release and discharge PHENOM PREP, DBA PHENOM SPORTS ACADEMY, and its owners, officers, directors, employees, coaches, instructors, volunteers, agents, contractors, facility partners, and representatives (collectively, the “Released Parties”) from claims arising out of or related to the athlete’s participation, including claims for injury, illness, property damage, or death, to the extent such release is lawful and enforceable.

Non-Waivable Rights. Nothing in this agreement is intended to waive or limit any right, claim, or responsibility that California law does not

permit to be waived or limited.

Indemnification. To the fullest extent permitted by law, I agree to be responsible for claims, costs, or expenses caused by my or the athlete’s intentional or negligent conduct or violation of Academy rules, except to the extent such responsibility cannot lawfully be shifted to me.

Medical Expenses. I understand that the Academy does not provide personal health or accident insurance for the athlete unless expressly

stated in a separate written agreement. I am responsible for medical and related expenses for the athlete.

No Guarantee. I understand that the Academy does not guarantee playing time, athletic performance, injury prevention, scholarships,

competition results, or any particular outcome.

Rules & Removal. I agree to comply with the current Parent & Athlete Handbook, safety procedures, facility rules, coach instructions, and applicable governing-body requirements. The Academy may suspend or remove an athlete when reasonably necessary for safety, conduct, eligibility, or operational reasons.

3. EMERGENCY MEDICAL AUTHORIZATION

I authorize Phenom Sports Academy and its coaches, staff, volunteers, or designated representatives to seek reasonable emergency medical

assistance for the athlete when I cannot be reached promptly or when delay could reasonably endanger the athlete.

I authorize staff to contact 911/emergency medical services and appropriate healthcare providers.

I authorize reasonable first aid and emergency care within the responder’s training and applicable procedures.

I understand emergency responders and medical professionals make independent medical decisions.

I understand the Academy will make reasonable efforts to contact me and the emergency contact.

Preferred Physician

Phone

Preferred Hospital

Additional Emergency Instructions

4. HEALTH, ALLERGY & MEDICATION DISCLOSURE

Please provide information that may reasonably affect safe participation. If none, write "None."

Condition / Allergy / Medication / Restriction

Details / Instructions

5. CONCUSSION, HEAD INJURY & SUDDEN CARDIAC ARREST ACKNOWLEDGMENT

I acknowledge that California youth sports requirements and Academy safety procedures may require removal from activity, medical evaluation, and clearance before return to participation after a suspected concussion, head injury, fainting episode, or other qualifying event.

I understand the athlete must report symptoms and follow return-to-play/return-to-activity instructions.

I understand that an athlete suspected of concussion or other serious injury must be removed from activity as required by law and Academy

protocol.

I understand that emergency cardiac response may include calling 911, performing CPR, and using an AED when available and appropriate.

I acknowledge receipt of applicable safety information provided by the Academy.

I understand that additional sport-specific safety forms may be required.

Parent/Guardian Initials

Date

Month

Day

Year

6. PHOTO, VIDEO & MEDIA RELEASE

6. PHOTO, VIDEO & MEDIA RELEASE

YES — I authorize Phenom Sports Academy to photograph, video-record, or audio-record the athlete during Academy activities and to use the athlete’s image, likeness, voice, first name, program/team information, and related content for Academy educational, promotional, website, social-media, advertising, recruiting, and community-relations purposes, without additional compensation.

NO — I do not authorize the athlete’s image, likeness, or voice for promotional/public-facing media. I understand that incidental background appearance may be handled under Academy operational procedures. I understand that I may contact the Academy regarding media concerns or future use. Previously published or distributed content may not be immediately removable from every location.

Parent/Guardian Signature

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Date

Month

Day

Year

7. TRANSPORTATION & TRAVEL AUTHORIZATION

This section applies only when transportation or travel is specifically authorized or arranged by Phenom Sports Academy.

I understand transportation may involve traffic, weather, road, vehicle, and other travel-related risks.

I authorize the athlete to participate in Academy-authorized transportation/travel identified by the Academy.

I agree the athlete will follow seat-belt, vehicle, driver, coach, staff, and travel rules.

I understand only Academy-approved transportation methods and drivers may be used for Academy-arranged transportation.

Transportation restrictions / special instructions:

Parent/Guardian Initials:

Date

Month

Day

Year

8. ATHLETE & PARENT/GUARDIAN CONDUCT ACKNOWLEDGMENT

I agree to treat athletes, parents, coaches, staff, officials, volunteers, and facility personnel respectfully.ox.

I agree not to engage in bullying, harassment, threats, violence, hazing, discrimination, retaliation, or abusive conduct.

I understand prohibited conduct may result in removal, suspension, dismissal, or other corrective action under Academy policy.

I agree not to interfere with coaching, training, officiating, safety procedures, or emergency response.

I understand the Academy may establish additional sport-specific or facility-specific rules.

9. FINAL ACKNOWLEDGMENT & SIGNATURES

By signing below, I acknowledge that I have carefully read this Parent & Athlete Waiver & Release Agreement, understand the activities and risks described, have had an opportunity to ask questions, and voluntarily agree to the applicable terms.

I understand this agreement should be read together with the current Phenom Sports Academy Parent & Athlete Handbook and any additional

required forms.

Parent/Guardian Printed Name

Parent/Parent/Guardian Signature

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Date

Month

Day

Year

Relationship to Athlete

Athlete Printed Name