Parent and Guardian Consent and Liability Waiver
Reference copy · Guardian waiver · Supplied edition
Doing the Ordinary, Extraordinary.
PARENT AND GUARDIAN CONSENT AND LIABILITY WAIVER
This document must be completed and signed by the parent or legal guardian of every Swimmer enrolled in the PH Stroke Lab Precision Technique Program prior to the Swimmer's first session. Please complete every section.
1. SWIMMER INFORMATION
FULL NAME
DATE OF BIRTH
AGE
PRIMARY EVENT
SECONDARY EVENT
CURRENT CLUB OR TRAINING GROUP
BEST TIMES (PRIMARY EVENT)
2. PARENT OR GUARDIAN INFORMATION
FULL NAME
RELATIONSHIP TO SWIMMER
MOBILE NUMBER
EMAIL ADDRESS
HOME ADDRESS
3. EMERGENCY CONTACT (IF DIFFERENT FROM ABOVE)
FULL NAME
RELATIONSHIP
MOBILE NUMBER
4. MEDICAL DISCLOSURE
Please disclose any existing injuries, chronic conditions, allergies, medications, or recent surgeries that PH Stroke Lab should be aware of. This information is treated as confidential and is used solely to protect the Swimmer's welfare during the Program.
I confirm that the Swimmer is medically fit to participate in high-intensity swim training and competitive in-water work.
☐ Yes, the Swimmer is medically fit to participate.
☐ A medical clearance is attached or will be provided prior to the first session.
5. ACKNOWLEDGMENT OF PROGRAM STRUCTURE
I acknowledge that the Program involves:
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Phase 1: Twelve (12) ninety-minute in-pool sessions over four weeks (Weeks 1 to 4).
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Phase 2: Four weeks of online check-in and reinforcement (Weeks 5 to 8), including weekly video review, mental conditioning, and mobility maintenance.
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Diagnostic observation, video recording, and structured technique correction.
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Out-of-pool education, mobility work, and benchmark testing.
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Race-pace work in the final week of Phase 1.
I understand that consistent attendance and engagement across both phases is essential to the Program and that final progress is measured at the conclusion of the eight-week structure.
6. ASSUMPTION OF RISK
Competitive swimming and high-intensity in-water training involve inherent risks, including but not limited to muscle strain, joint injury, shoulder impingement, water inhalation, contact with pool surfaces, and physical exhaustion. I have considered these risks and voluntarily consent to the Swimmer's participation in the Program.
I confirm that I have discussed these risks with the Swimmer, where appropriate to their age and understanding.
7. RELEASE OF LIABILITY
In consideration of the Swimmer's enrollment in the Program, I, on behalf of myself, the Swimmer, and our respective heirs, executors, and assigns, hereby release and discharge PH Stroke Lab, its coaches, staff, representatives, and partners from any and all claims, demands, and causes of action arising out of the Swimmer's participation, save where such claims arise out of the gross negligence or willful misconduct of PH Stroke Lab or its representatives.
This release does not waive any rights that cannot be waived under applicable Philippine law.
8. MEDIA AND FOOTAGE CONSENT
Video recording is an essential part of the Program and is used by the coaching team to diagnose technique and track progression. Please indicate your consent for each use below by checking the applicable boxes:
☐ Internal Coaching Use (required). I consent to the recording and use of footage of the Swimmer for internal coaching analysis, diagnostics, and progression tracking. This is required for participation in the Program.
☐ Anonymized Educational Use (optional). I consent to the use of footage of the Swimmer, anonymized where reasonably practicable, for coaching education, internal training of PH Stroke Lab personnel, and case study development.
☐ Marketing and Promotional Use (optional). I consent to the use of identifiable footage and photographs of the Swimmer in PH Stroke Lab marketing, social media, and promotional materials. I understand that I may withdraw this consent at any time by written notice to PH Stroke Lab.
9. CODE OF CONDUCT
I acknowledge that the Swimmer is expected to:
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Arrive on time, warmed up, and ready to train.
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Treat coaches, teammates, facility staff, and equipment with respect.
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Communicate openly with the coaching team about how the body and mind feel.
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Be coachable and willing to absorb correction, recognizing that technique change requires patience and humility.
PH Stroke Lab reserves the right to remove a Swimmer from the Program in cases of repeated disrespect, disregard of safety instructions, or conduct that disrupts the Batch.
10. ACKNOWLEDGMENT AND SIGNATURE
By signing below, I confirm that I am the parent or legal guardian of the Swimmer, that I have read and understood this document in full, and that I consent to the Swimmer's participation in the Program on the terms set out above.
PARENT OR LEGAL GUARDIAN
SIGNATURE
PRINTED NAME
DATE
Where the Swimmer is fourteen (14) years of age or older, the Swimmer's acknowledgment is also requested below:
SWIMMER ACKNOWLEDGMENT
SIGNATURE
PRINTED NAME
DATE