Please complete the following form and submit. Please note that in addition to this form your son/daughter must have had a physical exam on file in the nurse's office. The physical is valid for 13 months from the date of the physical (physicals dated before August 18, 2019 would be considered expired for those sports that start on September 18, 2020).
All students must have a valid physical in order to participate in the athletic program.
I have read and understand the policies and procedures as set forth in the Athletic Handbook (at
www.bbrsd.org) and agree to abide by these policies and procedures. I understand that the Tahanto Regional Administration and Athletic Department reserve the right to address any situation not specifically covered in the handbook in a manner that is deemed to be in the best interest of the student-athlete and Tahanto Regional as a whole.
I, the undersigned parent/guardian of the listed student, a minor, do hereby consent to my (student’s name) child’s participation in voluntary athletic or recreation programs sponsored by the Berlin-Boylston Public Schools. I agree to forever release, acquit, discharge, indemnify, defend, and covenant to hold harmless the Berlin-Boylston Public Schools, the School Committee, and all their employees, agents, board members, volunteers and any and all individuals and organizations assisting or participating in voluntary athletic or recreation programs of the Berlin-Boylston Public Schools (together the “Releasees”) from any and all claims, rights of action and causes of action that I may have and which have arisen in the past, or may arise in the future, directly or indirectly, from any known and unknown personal injuries to my child or property damage resulting from my child’s participating in the Berlin-Boylston Public Schools’ voluntary athletic or recreation programs. I also agree to forever release, acquit, discharge, indemnify, defend, and covenant to hold harmless the Releasees from any and all claims, rights of action and causes of action that my minor child may have or hereafter may acquire, either before or after reaching the age of majority which have arisen in the past, or may arise in the future, directly or indirectly, from any known or unknown personal injuries to my child or property damage resulting from my child’s participating in the Berlin-Boylston Public Schools’ voluntary athletic or recreation programs. I further affirm that I have read this Consent and Release Form and that I understand the contents of the Form. I understand that my child’s participation in these programs is voluntary and that my child and I are free to choose not to participate in said programs. By submitting this Form, I affirm that I have decided to allow my child to participate in the Berlin-Boylston Public Schools’ programs with full knowledge that the Releasees will not be liable to anyone for personal injuries and property damage my child or I may suffer in voluntary Berlin-Boylston Public Schools’ athletic or recreation program
