• Non CE Sports Club Members must check the box.
• Do not check the box if you are a CE Sports Club Member

NOTE: The CE Pool is Members Only immediately after practice.  

• I agree to hold harmless any Chateau Elan owners, managers or employees of Chateau Elan Development and Sports Club in the case of accident or injury on the premise.
• I hereby release Chateau Elan Swim Team, its directors, officers, agents, coaches, and employees from liability for any injury that might occur to myself (or to my child(ren) and family members) while participating in the Chateau Elan Swim Team program, including travel to and from training sessions, swim meets or other scheduled team activities.

 I hereby grant Gwinnett County Swim League and their agents, representatives, contractors and/or members the absolute right and permission to use photographic portraits, pictures, digital images or videotapes of my child, or in which my child may be included in whole or part, or reproductions thereof in color or otherwise for any lawful purpose whatsoever, including but not limited to use in advertisement or promotional material such as Gwinnett County Swim League publications or the Gwinnett County Swim League website, without payment or any other consideration.

I hereby release, discharge and agree to indemnify and hold harmless Gwinnett County Swim League and their agents from all claims, demands, and causes of action that I or My Child have or may have by reason of this authorization or use of My Child’s photographic portraits, pictures, digital images or videotapes, including any liability by virtue of any blurring, distortion, alteration, optical illusion or use in composite form, whether, intention or otherwise that may occur or be produced in the taking of said images or videotapes, or in processing tending towards the completions on the finished product, including publication on the internet, or any other advertisements or materials.

I represent that I am at least eighteen (18) years of age and am fully competent to sign this Release.

This is a release of legal rights. Read it carefully and be certain you understand before signing.

Please check the box agreeing to the terms of this release 

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. The state of medical knowledge is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and even death.

Gwinnett County Swim League (GCSL), cannot prevent you (or your child(ren)) from becoming exposed to, contracting, or spreading COVID-19 while participating in Gwinnett County Swim League events. It is not possible to prevent against the presence of the disease. Therefore, if you choose to participate in a GCSL event, you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.

ASSUMPTION OF RISK: I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to participate in a GCSL event. Participating in the event is of such value to me and/or to my children that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to participate.

The $20 GCSL athlete fee is non-refundable 24 hours after registration.

LIABILITY RELEASE AND INDEMNIFICATION FORM

I, the undersigned participant and parent, request voluntary participation for my minor child(ren) to participate in all events, which are hereinafter referred to as the “activities” sponsored by Gwinnett County Swim League (GCSL) and its individual swim teams. This agreement is valid while the participant is a registered participant with Gwinnett County Swim League.

I consent to my/minor’s participation in all activities and acknowledge that the minor and I fully understand my/minor’s participation may involve risk of serious injury or death, including losses which may result not only from my/minor’s own actions, inactions or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the event or activity is being conducted, and/or the rules of play of this type of event or activity. I understand that if I have any risk concerns, I should discuss the risks associated with my participation with the activity coordinators and event staff, before I sign this document and before any activities begins.

Release – Minor’s Rights:

In consideration of allowing Minor Participant to participate in the activities, I hereby release and hold harmless Gwinnett County Swim League, its individual swim teams, and their members of its board of directors, officers, employees, volunteers, other participants, and agents (collectively, the “Released Parties”), of and from, and do discharge and waive, any and all claims, demands, losses, damages, and liabilities that Minor Participant may have or sustain with respect to any and all damage and/or injury, of any type, arising out of his or her participating in the activities. I also agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

Release – Parents’/Guardians’ Rights:

In consideration of allowing Minor Participant to participate in this Gwinnett County Swim League season, I hereby release and hold harmless the Released Parties, of and from, and do discharge and waive, any and all claims, demands, losses, damages, and liabilities that I may have or sustain with respect to any and all damage and/or injury, of any type, arising from Minor Participant’s participation in the activities. I also agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

I certify that my/minor is in good health and have no physical condition that would prevent participation in this activity. Furthermore, I agree to use my/minor’s personal medical insurance as a primary medical coverage payment if accident or injury occurs. I consent to emergency medical treatment in the event such care is required.

Indemnification by Parent/Guardian:

The undersigned parent/guardian further agrees to indemnify, save and hold harmless the Released Parties from any and all claims, demands, losses, damages and liabilities for indemnities, contribution or otherwise with respect to any damage and/or injury, of any type, arising from Minor Participant’s participation in the activities. The undersigned also agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasee and is intended to be as broad and inclusive as is permitted by the laws of the State in which the Event(s) is/are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

DANGERS OF CONCUSSION

Concussions at all levels of sports have received a great deal of attention and a state law has been passed to address this issue. Adolescent athletes are particularly vulnerable to the effects of concussion. Once considered little more than a minor “ding” to the head, it is now understood that a concussion has the potential to result in death, or changes in brain function (either short-term or long-term). A concussion is a brain injury that results in a temporary disruption of normal brain function. A concussion occurs when the brain is violently rocked back and forth or twisted inside the skull as a result of a blow to the head or body. Continued participation in any sport following a concussion can lead to worsening concussion symptoms, as well as increased risk for further injury to the brain, and even death.

Athlete and parental education in this area is crucial—that is the reason for this document. Refer to it regularly. This form must be signed by a parent or guardian of each swimmer who wishes to participate in GCSL activities. 

COMMON SIGNS AND SYMPTOMS OF CONCUSSION

● Headache, dizziness, poor balance, moves clumsily, reduced energy level/tiredness

● Nausea or vomiting

● Blurred vision, sensitivity to light and sounds

● Fogginess of memory, difficulty concentrating, slowed thought processes, confused about surroundings or assignments

● Unexplained changes in behavior and personality

● Loss of consciousness (NOTE: This does not occur in all concussion episodes.)

The following is a link to Heads Up, the online concussion awareness and safety recognition program offered by the Centers for Disease Control and Prevention. Please visit the site and explore the program.

http://www.cdc.gov/concussion/HeadsUp/online_training.html

I HAVE READ THIS INFORMATION AND I UNDERSTAND THE FACTS PRESENTED HERE. I HAVE REVIEWED THIS INFORMATION WITH MY CHILD. 

By checking this box, I give permission for my child’s name to be shared with Gwinnett County Parks & Recreation (GCPR) and Georgia Recreation & Parks Association (GRPA), in partnership with the Gwinnett County Swim League (GCSL), for possible inclusion in the State Qualifying Meet to be held at Collins Hill Park Aquatic Center this 2023 season.