What: Six week clinic on Fridays
For: Boys and girls in grades 1 to 4
When: Fridays - March 6, 13, 27, April 3, 10, 24
Time: 3:15 to 4:15pm
Cost: $145


Student Information






Parent Information


Permission

Assumption of Risk and Release of Liability

In consideration of the named camper being permitted to participate in Cougar Clinic activities, we, the parents or legal guardians of the participant, on our own behalf and on behalf of the camper (hereinafter “Releasors”), hereby acknowledge and agree that we understand and fully appreciate the risk of injury involved to the camper in participating in camp activities. We understand that the camper will engage in various activities. The Releasors nevertheless hereby release, waive, and discharge Almaden Country Day School, its officers, employees, agents, counselors, and representatives, (hereinafter “Releasees”) from all liability to the Releasors for any loss or damage, and any claims or demands on account of injury to the camper caused in any way while the camper is participating in any of the Cougar Clinic activities. The Releasors hereby agree to indemnify and hold harmless the Releasees, and each of them, for any loss, liability, damage, or costs and expenses including attorneys’ fees they incur due to the campers participation. It is the express intention of the Releasors to exempt and relieve the Releasees from any liability for personal injury, property damage, or wrongful death related in any way to the participation of the camper in ACDS Cougar Clinic activities. The undersigned acknowledges that he or she is fully aware of the legal consequences of signing this application containing the express waiver and release of liability.

I, WE, the undersigned, parents of a minor(s),

 

I do hereby authorize the COUGAR CLINIC and its delegated leaders as agents for the undersigned to consent to any x-ray examination, anesthetic, laboratory, pathology, deemed advisable by, and to be rendered under the supervision of any physician, dentist, or surgeon licensed under the provisions of the medical staff of any licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. It is understood that this authorization is given in advance of any specific diagnosis or treatment and that reasonable effort shall be made to contact the undersigned prior to rendering treatment, but then any of the above treatments shall not be withheld if the undersigned cannot be timely reached. This authorization shall remain in effect unless revoked in writing.