I hereby represent and certify that I am the parent/guardian of the player named above, that the information above is accurate and complete, and to the best of my knowledge the player is physically healthy to participate in the activity selected. I fully understand that signing this agreement shall relieve the Dallas County R-I School District, its employees, agents, representatives, coaches and any volunteers for this activity, from any and all liability, actions, debts, claims, or in connection with any injury received during participation in the indicated activity or sport to the player named above. If I cannot be reached in case of an emergency, I give my consent to the school to obtain through a physician or hospital of its choice, such medical care as is reasonably necessary for the welfare of the student if he/she is injured in the course of youth activities. *
