Informed Consent Agreement for Participation in Valley High School Athletics/Activities
NOTE: This informed agreement form listed above is included in all summer sport camps registrations through Eleyo. You DO NOT need to complete the form if you are only signing up for a summer sports camp.

The State of Iowa declared a public health emergency on March 17, 2020 in connection with the COVID-19 pandemic. School and school activities for students were temporarily suspended. Subsequent state directives have allowed for school activities and learning to resume on June 1, 2020. Accordingly, the West Des Moines Community School District (“District”) will resume its athletics and activities programs beginning June 1, 2020.
 
The District is taking reasonable measures to prevent the spread of infection, including tracking and following applicable state and federal guidance. However, the possibility of transmission cannot be eliminated. Individuals must be aware of and acknowledge the risks before participating in athletics and activities programs.

Signing this Informed Consent Agreement, you acknowledge, accept, and agree to the following (Parent/Guardian of Participant Must Sign):

- Participation in athletics and activities is purely voluntary.

- My child has permission to participate in athletics or activities meetings, practices and competitions as directed by coaching staff and activity sponsors.

- Neither myself nor my child will attend meetings, practices and/or competitions if any of the following apply:

     - Any member of our household is exhibiting symptoms of illness, such as cough,
       fever, or shortness of breath.

     - Any member of our household has been diagnosed with COVID-19 or
       has a suspected diagnosis of COVID-19.

     - Any member of our household has spent time with another individual who has
been diagnosed with COVID-19 or has a suspected diagnosis of COVID-19.

- I agree to immediately inform Mr. Brad Rose, Valley High School athletics and activities director, if any member of our household has been diagnosed with COVID-19 or has a suspected diagnosis of COVID-19.  

- I am aware that myself and my child may be exposed to COVID-19 while participating or attending meetings, practices and/or competitions. I understand that this exposure carries a risk of infection, serious injury, or death.

- My child is voluntarily participating in athletics and activities and I agree to assume any and all risks of infection, injury, or death, whether those risks are known or unknown.

- I forever release the District from any liabilities, causes of action, lawsuits, claims, demands, or damages of any kind whatsoever that I, my assignees, heirs, guardians, next of kin, spouse, and legal representatives have, or may have in the future, related to participation in athletics and activities.
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Student First Name *
Student Last Name *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Student Grade for 2020-21 *
Off Season Sports Training and/or Activity Practices
Coaches and activity advisers are coordinating times for students to access the building to train and practice.
Please indicate the activity or activities your student plans to participate in this summer. By signing this waiver, you are agreeing to the terms outlined for any of the activities listed below. *
Items are listed in alphabetical order
Required
Student E-Signature *
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE OF THE RISKS OF PARTICIPATING IN ATHLETICS AND ACTIVITIES DURING THE COVID-19 PANDEMIC. I AM AWARE THAT THIS FORM CONTAINS A RELEASE OF LIABILITY.
Parent E-Signature *
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE OF THE RISKS OF PARTICIPATING IN ATHLETICS AND ACTIVITIES DURING THE COVID-19 PANDEMIC. I AM AWARE THAT THIS FORM CONTAINS A RELEASE OF LIABILITY.
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