CONSENT AND MEDICAL AUTHORIZATION: I, the undersigned, hereby give my consent for the above swimmer to
represent CREVE COEUR RACQUET CLUB SWIM & DIVE TEAM in swimming and diving activities. If I cannot be reached in
the event of an emergency, I also give consent for the team coach or representative to obtain through a physician,
dentist or hospital of its choice, such medical care as is reasonably necessary for the welfare of the swimmer or diver. If
he/she is injured in the course of swim and/or dive team activities, I also guarantee payment of all charges incurred
during this medical treatment (physician, dentist, hospital, x-ray, lab, drugs, ambulances, etc.).
RELEASE: I, the undersigned, acting as parent and /or guardian for the above child understand the potential danger
involved in swimming and diving activities including, but not limited to, head-first entry into a swimming pool from
starting blocks or a diving board. I further understand that team practices or events have designated times before and
after which it is my responsibility to pick up or supervise my child. I acknowledge all risks inherent with the CREVE
COEUR RACQUET CLUB SWIM & DIVE TEAM, agree to assume all risks and as a condition of my child’s participation,
waive and release any and all rights to claims for loss or damages, including all claims based on negligence, (active or
passive) of CREVE COEUR RACQUET CLUB SWIM & DIVE TEAM, CREVE COEUR RACQUET CLUB, the Board of Directors of CREVE COEUR RACQUET
