Athletic Waiver
This athletic form must be completed, digitally signed, and submitted at the beginning of your first day of tryouts for each season.  A current year physical must be on file prior to tryouts.
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Email *
Student's First and Last Name *
Sport(s) *
You may choose ANY/ALL your child will be interested in. *Athletic waiver is only required ONCE per year and applicable to all sports.
Required
Grade Level
*Sports tryouts only extend to 5th grade if/when participation numbers are low.
Parent/Guardian First and Last name *
Parent/Guardian Phone Number *
Emergency Contact *
Please list first and last name of someone OTHER than the parent/guardian listed above.
Emergency Contact Phone Number *
Medical Alert
Does your child suffer from any allergies or have a medical condition of which the coach should be aware?  If so, please list details.
Emergency Room Consent
Occasionally, accidents may occur when students are participating in school organized sports.  To avoid any delays in medical treatment and/or hospital attention, parental permission to proceed with immediate medical care is required when parents are not immediately available.    My (son or daughter) has my permission to receive medical treatment at the nearest hospital for any injury sustained during the school sports season.
Family Doctor
Please list the NAME and/or PRACTICE of your family medical doctor.
Phone Number of Doctor/Practice
Waiver of Liability and Indemnification:

 I am the parent/guardian of the student identified in this Athletic Form. I am fully aware there are inherent risks involved with the activity or sport identified in this Athletic Form, and I choose to allow my son/daughter to participate in said activity/sport with full knowledge that such participation may be hazardous to him/her. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury that may be sustained by my son/daughter as a result of participating in said activity/sport. I further agree to indemnify and hold harmless the District, its School Board members, officers, agents, coaches, volunteers, and employees for any loss, liability, claims, actions, damage(s) or costs, including court costs and attorney’s fees that may occur as a result of my participation in the activity/sport identified in this Athletic Form. 


Electronic Signature
I understand that by typing my name and clicking on "submit", I am electronically signing this document.  A copy of this document will be sent to my email address as collected by this form.
First and Last name of parent/guardian completing this form: *
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