INJURY AND INSURANCE RELEASE STATEMENT: My
child has my permission to attend the Thomas Worthington Football Camp. In the
event of an emergency in which my child requires medical care, I authorize the
staff of the camp to obtain the necessary treatment. I specifically consent to
such treatment including, but not limited to, hospitalization and will be
responsible for any medical charges in connection with attendance of the football camp. I specifically waive &
release the camp staff and Worthington City Schools from liability of any
injury that my child may incur during & after participation in the camp. I
authorize the camp to use any photos or newspaper articles about my child for
publicity purposes. The Thomas Worthington Football Camp is neither sponsored
nor endorsed by the Worthington City School district. *