Emergency Care & Liability Release Form

ADULT/CONTINUING EDUCATION
AUTHORIZATION FOR EMERGENCY CARE AND LIABILITY RELEASE FORM Ennis School District

As a condition to participate in the Ennis School District’s Adult/Continuing Education Programs for the 2022-2023 school year, you are required to complete the enclosed form. It is the policy of the School District to require an acknowledgment of risk and emergency medical treatment release as a condition of participating in this program. If you would like to participate, please carefully read and sign this document.

This program may include physical activity. There is an inherent risk of injury in these types of activities. By signing this agreement I acknowledge that the school district staff and volunteers try to prevent accidents. I, the undersigned, hereby acknowledge and understand that, regardless of all feasible safety measures that may be taken by the district, participation in this event entails certain inherent risks. I certify that I am physically fit and medically able to participate or have noted an applicable physical or medical diagnosis at the bottom of this form. I further certify that I will honor all instructions of district staff and volunteers and failure to honor instructions may result on dismissal from the activity.

I agree to accept responsibility for my participation in the above-referenced program and activities. I hereby release and forever discharge Ennis School District, its Board of Trustees, employees, agents and insurers from any and all claims, demands, rights and causes of action, liability, damages, and attorney fees, arising from any personal injury, property damage, or the consequences thereof, resulting from or in any way related to my participation in the above-referenced program and activities that are not the result of fraud, willful injury to a person or property or the willful or negligent violation of a law or policy by a employee, or agent of the School District.

I, the undersigned, authorize qualified emergency medical professionals to examine and, in the event of injury or serious illness, administer emergency care to me if required under the circumstances based on, and in accordance with, their medical training. I understand every effort will be made to contact the family or contact the person noted below to explain the nature of the problem prior to any involved treatment. I understand emergencies may require immediate treatment in the opinion of medical professionals. In the event it