Medical Release Waiver

Applicable to: Assessments (Winter January - March) High Performance Mini O's Pre-Registration Performance Bronze Performance X Senior Age Group Performance Silver Gold UofA JAG Fountain Park JAG UofA OW Scona/UofA OW2 Fountain Park OW1 Fountain Park OW2 UofA JOW Scona/UofA JOW2 Fountain Park JOW Fountain Park/GMac JOW2 UofA JD (Non-Competitive) Fountain Park JD (Non-Competitive)

I, the swimmer or (if under 18) the parent/legal guardian of the Member(s) associated with this Account hereby give consent for any supervisor, coach or other team administrator associated with the Olympian Swim Club to seek and authorize appropriate medical attention in the event of accident, injury, illness, or emergency.