Candidate Waiver Form for Candidate/Cadet Under 18

  •  

    WI Challenge Academy Parental Consent, Release and Waiver of Liability COVID-19/Coronavirus

    • I, the undersigned, certify that I am the parent or legal guardian of the below mentioned Cadet.
    • I acknowledge that participation in the Wisconsin Challenge Academy involves certain dangers and risks, which may expose my child/ward to hazards of becoming ill with the Coronavirus.
    • I understand that Wisconsin Challenge Academy will provide personal protective equipment to my child/ward.
    • I understand that my child/ward must obey all established rules, procedures, and follow the instructions of the staff in charge.
    • I consent to and understand that Wisconsin Challenge Academy has the right to remove my child/ward from the Wisconsin Challenge Academy for his/her own safety or the safety concerns of others if my child/ward comes down with the Coronavirus.
    • I understand that my child/ward could be dismissed from the program for serious safety violations during the class. Under such circumstances, I agree to personally pick up my child/ward at designated times as indicated by Wisconsin Challenge Academy.  I understand Wisconsin Challenge Academy will not arrange or facilitate any travel alternatives (bus, plane, taxi, etc…) regardless of weather, transportation limitations, work or personal obligations.
    • I acknowledge that there are certain risks associated with group style living accommodations.
    • I acknowledge that there may be other risks inherent during this COVID-19 pandemic, of which I may not be presently aware.
    • I also expressly assume all risks to my child/ward whether said risk is known or unknown to me at this time.

    ·       In consideration of my child/ward being allowed to participate in the Wisconsin National Guard Challenge Academy, I hereby release and forever discharge the State of Wisconsin, its officers, agents, and employees, acting officially or otherwise, from any and all claims, demands, actions, or cause of action, on account of any injury or illness to my child/ward, which may occur from any cause arising out of their participation in the Wisconsin National Guard Challenge Academy.  I also agree to indemnify and hold harmless the State of Wisconsin, its officers, agents, and employees, from any/all liability or cause of actions which may arise from my child’s/ward’s participation in this program.

     

  • This field is hidden when viewing the form
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.