2-4-1 Sports Camps and Clinics are a program offering of 2-4-1 CARE, Inc. 2-4-1, as follows, is used interchangeably to mean both the Sports program and the organization 2-4-1 CARE, Inc. I give my permission for my child to participate in the 2-4-1 Camp that I have just registered for. I realize that athletic activities, such as those taking place at 2-4-1 involve the potential for injury which is inherent in all sports. I acknowledge that even with the best coaching and supervision, proper use of equipment, and strict observance of rules, injuries are still a possibility. On rare occasions, such injuries can be so severe as to result in total disability, paralysis, or even death.I hereby authorize you to take whatever action you deem necessary to provide for the health and welfare of my child, in case of an emergency. The information provided at the time of registration for 2-4-1 is accurate to the best of my knowledge. I have indicated any special health conditions for this camper, including required medication and activity limitations which should be known to the staff and medical personnel at camp. I am aware of and accept the inherent risk of participating in all activities provided by 2-4-1 CARE, Inc. I am aware that my child will be asked to participate to his or her fullest extent and that participation in the program may include rigorous and strenuous physical activity. I recognize that this sort of activity results in an elevated heart rate and increased breathing. In the event that an athletic injury or illness should occur to my child while at camp, I give permission for he/she to receive proper/necessary care from a 2-4-1 staff member. Furthermore, in the event that a medical emergency should occur and I cannot be contacted, I give my permission for a 2-4-1 staff member to arrange for ambulance service to the nearest medical facility I also give permission for use of my child’s image at any/all 2-4-1 Programs in photographs or video to be used for future promotional/marketing materials for 2-4-1.. In the event that you would like your child’s image taken down from 2-4-1 websites, social media posts, etc 2-4-1 will make every effort to do so upon request. 

2-4-1 Concussion Acknowledgement and Waiver: It is the policy of 2-4-1 CARE, Inc that athletes cannot participate in activities until this form has been acknowledged, signed, or completed on‐line. Concussion definition: A concussion is a type of brain injury caused by trauma. It can be caused by a hard bump or blow to or around the head, which causes the brain to move quickly inside the skull. You do not have to lose consciousness to have a concussion. If a concussion is not properly treated, it can make symptoms last longer and delay recovery. A second head trauma before recovery could lead to more serious injuries. Signs and symptoms: There are many signs and symptoms linked with concussions. Your child may not have any symptoms until a few days after the injury. Signs are conditions observed by other people and symptoms are feelings reported by the athlete. Signs or symptoms of concussion may include but are not limited to: Confusion, Headache, Nausea or Vomiting, Memory Loss, Fatigue, Sensitivity to Noise and Light, Slurred Speech, Irritability etc. What should you do if you suspect a concussion: ● Do not let your child play with a head injury. ● Take your child to the doctor for any symptoms of a concussion. ● Check on your child often after the injury for new or worsening signs or symptoms. ● If the symptoms are getting worse, take them to the nearest hospital. ● Do not give your child pain medications without talking to your child’s doctor. ● Your child should stop all athletic activity until the doctor says it’s OK. ● Your child must stay out of play until they are cleared by a licensed healthcare provider ● They must also bring a release form that they are cleared by the healthcare provider. ● Educate your child on concussions and why he/she cannot play until the symptoms are gone. Your child will need a gradual return to school and activities. ● Tell your child’s coaches, school nurse and teachers if he/she has a concussion. ● In case of an urgent concern or emergency, call 911 or go to the nearest emergency department right away. Return to a 2-4-1 program after a confirmed concussion will be agreed upon after our return to play protocol is complete and in collaboration with HPS Health Services.

COVID 19 -The novel corona-virus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend vaccination or social distancing. 2-4-1 CARE, Inc has put in place at 2-4-1 programs preventative measures to reduce the spread of COVID-19; however, we cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending any in person summer care program, social gathering, or athletic event, including camps like the one hosted by 2-4-1 CARE, Inc could increase your risk and your child(ren)’s risk of contracting COVID-19. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending this 2-4-1 event and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at 2-4-1 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, 2-4-1 Sports, Inc employees, program participants, and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at 2-4-1. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless 2-4-1 CARE, Inc, its employees, representatives, of and from the claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of 2-4-1 CARE, Inc, its employees, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any 2-4-1 program In consideration of my application and permitting my child to participate in this activity, I hereby: WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of 2-4-1 CARE, Inc , its trustees, officers, employees, camp counselors, volunteers, entities or other persons released, for my child’s death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to them including their traveling to and from this activity; INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE 2-4-1 CARE, Inc, its board,, its trustees, officers, employees, volunteers, or other entities or persons released from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. The Accident Waiver and Release of Liability Form (hereby included)shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. 2-4-1 CARE, Inc, its Board, its Trustees, directors, officers, and all its employees, acting officially or otherwise are hereby released from any and all claims, demands, actions