Student Membership 2016/2017

  • Emergency Medical Authorization

  • Student Waiver

  • By signing below I agree as follows:
    1. In an emergency, I give my consent for family physician, EMT and/or hospital to provide emergency treatment to my child. A copy of this Emergency Medical Authorization shall be as valid as the original.
    2. It is my obligation to keep SSS informed of any changes as to the information on this form.
    3. My permission is given to SSS or its Sponsors to publish my minor child’s name and/or photo in SSS events.
    4. I agree to adhere to the Code of Ethics as stated above.
    5. My child may participate in activities with the Surf Club/Team and Scholastic Surf Series.

    Your team dues will be determined by the coach or team manager to include overall costs to run the program.

    Code of Ethics:

    SSS abides by good sportsmanship and expects the same from members and parents alike. In all SSS activities be safe, courteous, fair, controlled, and show respect to fellow surfers, officials, coaches, spectators, local residents and their property and the environment. The use of foul language, violence, illegal substance use is prohibited.

    Release, Hold Harmless/Indemnification

    In applying to surf in WSA’s Scholastic Surf Series (SSS) surfing program and in exchange for the SSS’s acceptance of my membership form, I voluntarily agree to assume all risks incident to the sport of surfing and related activities in connection with the contests and surf team/club activities. I fully understand and comprehend the dangers of surfing. With full knowledge, comprehension and understanding of these dangers, I voluntarily accept and assume all risks involved in the activities in connection with contests and all surf team/club activities. I intend to be legally bound, hereby, for myself, my heirs, executors and administrators, hold harmless and release and forever discharge the Surf Club/Team, Scholastic Surf Series, Western Surfing Association, Surfing America, the State of California, State Beaches, Counties of San Diego, Orange, Los Angeles, Ventura, Santa Barbara, the Cities of Encinitas, Oceanside, San Clemente, Santa Monica and any other city where the above described events take place, the Oceanside Small Craft Harbor District, the Regents of the University of California, its officers, employees and agents, the city of San Clemente Redevelopment Agency, the participating schools and school districts, and any agent or official connected with the Surf Club/Team, and all sponsors and sponsoring agencies and their members, agents employees, volunteers and any officials connected with this competition, from all liabilities for injuries and damages whatsoever, arising from my presence or participation in the above described event(s) and do hereby grant the sponsors such release as described herein.

    I agree to indemnify, hold harmless and reimburse for future losses and Releasees and each of them, against any such claim that I or anyone or more of my or their executors, administrators, heirs, next of kin, successors, or assigns may assert, and against any costs, including attorneys' fees, with respect thereto. Such indemnification shall extend to any claim that might be asserted by others against me that also names the releasees.

    The Release has been executed voluntarily and knowingly by me with the express intention of affecting the legal consequences provided by section 1541 of the California Civil Code. I intend to relinquish all claims against the releasees, whether or not known and expressly waive any and all right and benefits conferred upon me by the provisions of Section 1542 of the California Civil Code, which reads: 'A General Release does not extend to claims which the Creditor does not know or suspect to exist in his favor at the time of executing the Release which, if known by him, must have materially affected his settlement with the Debtor.'

    This Release shall be governed by and constructed in accordance with the laws of the State of California.

    AS THE PARENT(S) OR LEGAL GUARDIAN OF THE MINOR CHILD NAMED ABOVE, I HEREBY GIVE CONSENT FOR SAID CHILD TO RECEIVE ALL EMERGENCY MEDICAL CARE PRESCRIBED BY A DULY LICENSED PHYSICIAN. THIS AUTHORIZATION INCLUDES, BUT IS NOT LIMITED TO, ANY X-RAY, ANESTHETIC, MEDICAL, DENTAL, OR SURGICAL TREATMENT AND HOSPITAL CARE RECOMMENDED FOR THE WELL-BEING OF THIS CHILD

  • Please use finger, trackpad or mouse to sign. This signature states that you're the legal guardian or parent and are over 18
  • Please use finger, trackpad or mouse to sign. This signature states that you're the legal guardian or parent and are over 18