Upper School Waiver and Consent Form
Charlotte Country Day School (“CCDS”) students are eligible to participate in certain extracurricular activities, excursions, trips, competitions and other school-sponsored events. These events and activities are voluntary.
As a condition to your child’s participation in the activity or event described below (the “Activity”), you are required to sign this document, which provides your consent to your child’s:
- participation in the Activity,
- emergency medical treatment should it become necessary, and
- your agreement not to hold the school responsible for any accidents or injuries that occur in the course of the Activity.
Assumption of Risks
Participation in the Activity carries with it certain risks, including some that cannot be eliminated even with the exercise of care by school personnel or others involved in or supervising the Activity. The specific risks vary from one activity to another, but they can include the risk of physical injury, damage to a student’s property or risks to a student’s health.
Waiver
In consideration of my child being permitted to participate in the Activity, I, for myself, my heirs, personal representatives, or assigns do hereby release, waive, and discharge CCDS, its employees, and agents of any and all responsibility and liability for any injury, claim, or legal action of any kind arising from or relating to my child’s participation in the Activity.
Indemnification and Hold Harmless
I also agree to indemnify and hold harmless CCDS, its employees, and agents from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities arising from or relating to my child’s participation in the Activity.
Severability and Choice of Law
I agree that the foregoing waiver of liability and assumption of risks and indemnity agreement is intended to be as broad and inclusive as is permitted by law and that if any portion thereof is held invalid, the balance shall, notwithstanding, continue to be of full legal force and effect. This document shall be governed by the substantive laws of the State of North Carolina (without regard to the application of conflict of laws principles) and any legal action relating to the Activity shall be filed exclusively in the federal or state courts located in Mecklenburg County, North Carolina.
Acknowledgment of Understanding