Form Center

I hereby give my consent for my child to participate in aquatic activities. I hereby give my consent for my child to be transported to and from the program by city and school staff in the City of Bridgeport and/or Bridgeport Independent School Vehicles. In the event that emergency medical attention is deemed necessary, I give the City of Bridgeport permission to provide first aid and/or transport to the nearest emergency medical facility. I also give permission for necessary emergency treatment by a physician and/or hospital/clinic. In consideration of your accepting my child in the program, I hereby for myself, my child, my heirs, executors, and administrators release and discharge all rights, demands, claims and cause of action, whether arising now or in the future, against the City of Bridgeport, the Parks and Recreation Division, its employee(s), agent(s), representative(s), and assigns for any and all property damage and injuries, including death, suffered by my child while enrolled in the program. I acknowledge that I have full knowledge of the risks involved in the program and that I have made my child aware of the risks and those risks are expressly assumed. I will, without limitation, assume and pay any medical and emergency expenses in the event of accident, injury, illness, or other incapacity. I state that I have carefully read this release and understand its contents. I do hereby release, absolve, indemnify, and hold harmless the City of Bridgeport and its employees, activity officials, activity supervisors, any or all of them in the event of any accident, injury, or death sustained by the above named participant(s) while being transported to or from an activity, or while participating in this activity, from any liability of any kind whatsoever. I also give permission for any photographs taken during this activity to be utilized for promotional uses by City of Bridgeport now and in the future. I, the parent or legal guardian of the above named participant, do hereby give my approval for participation in this and all of the programmed activity.