I certify that I am the parent or legal guardian for my swimmer. I hereby give my permission for any supervisor, coach or other team administrator associated with the Kilkenny Swimming Club to seek and give appropriate medical attention to the swimmer associated with this agreement in the event of an accident, injury, illness understanding that all costs associated with any necessary medical attention and/or treatment must be paid by the parent/guardian.
I hereby waive, release and forever discharge Kilkenny Swimming Club from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in Kilkenny Swimming Club activities, whether or not damages or loss is due to negligence. I hereby acknowledge that the swimmer associated with this agreement is physically fit and capable of participation in all activities.