Full Name of Participant *
I, hereby authorize the Certified Athletic Trainers and sports medicine staff acting on behalf of Omega Sports Academy International Inc. to evaluate and treat any injury/illness that occurs as a result of my participation in athletics. This includes any and all reasonable and necessary preventative care, treatment, and rehabilitation for these injuries/illnesses. I understand that I must refrain from practice while injured/ill, whether or not receiving medical care. When under medical care I may not return to participation until I have been given permission by the Physician, his/her delegate, or Certified Athletic Trainer if deemed necessary. This may occur during or at the conclusion of medical treatment. The overseeing physicians have the FINAL authority regarding participation status following injury/illness. I understand and agree that if I experience an injury/illness or change in my health status it is my responsibility to inform my Head Coach and the Certified Athletic Trainer. I also agree to adhere to the established injury management guidelines including rehabilitation and reassessment before I am released to return to full participation. This authorization expires ten (10) months from the date signed. It may be revoked at any time provided written documentation of the revocation is on file in the athletic training room.
