Medical Release Waiver
Applicable to:
Rec (2x/week)
Masters (2+x/week)
Rec Plus (3+x/week)
Masters (1x/week)
Group A
Group B
Group C
Group D
Group E
Pre-Competitive
Pre-Competitive (Race)
AG-Devo
AG-Train
AG-Race
Junior Performance
Senior Elite
I certify that I am the individual identified in this registration, or the parent or legal guardian of the child(ren) identified in this registration, where applicable. I hereby authorize any supervisor, coach, team administrator, or other authorized representative of the Peterborough Swim Club to seek to obtain appropriate medical attention for myself and/or my child(ren) in the event of an accident, injury or illness occurring during a Peterborough Swim Club activity.
I understand and agree that I am responsible for any and all costs associated with medical assessment, transportation, treatment or other medical services provided to myself and/or my child(ren).