2023-2024 St. John’s Milwaukee School Athletics Participation Waiver
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Email *
Student Name /Siang hngakchiah Min (Last, Middle Initial, First) *
Sex *
Grade (2023/24 school year)/ Catang kai mi *
Home Address (Include City and Zip Code)/Nan Inn Address (City le Zip Code telh chi ding) *
Date of Birth (Month/Date/Year) Chuak Kum(Thla/Ni/Kum) *
PERMISSION TO PARTICIPATE IN INTERSCHOLASTIC ATHLETICS
I hereby give my permission for the above named student to practice and compete and represent St. John’s School in interscholastic sports. I further grant permission for any medical records pertaining to the health of the above named student-athlete to be made available “as necessary” to the proper school personnel and appropriate health care providers, including emergency medical personnel. 

A cung lei in sianghngakchiah hi practice le sianginn in an tuah mi lentelh celh nak ah telh kho dingin  nawl ka pe ko. Cun hi sianghngakchiah hi lentelh cel practice lio ah pakhat kaht si sual ah cun  ngam dam nak sii le in herh ning in tim tuah dingin  nawl ka pe ko hna.
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Required
FINANCIAL RESPONSIBILITY FOR ATHLETIC UNIFORM(S) AND EQUIPMENT
As parent(or legal guardian) of the above named student, I agree to be financially responsible for the prompt and proper return of all athletic equipment issued to him/her. I understand that my son/daughter/dependant is responsible for any uniform/equipment that is assigned to them and agree to pay the replacement value of the uniform/equipment in the event that it is lost, stolen, or damaged. 

Kan mah nu le pa nih hi siang hngakchiah nih hin sianginn in an hlan mi uniform le a dang thilrit a hrawk le thlau tiak ah nu le pa nih hi uniform le a dang thilrit cawk than nak ding caah phaisa liam dingin ka lung atling.
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ASSUMPTION OF RISK
I realize that there are risks in athletic activities provided by St. John’s Milw School and that my son/daughter/dependant may incur serious injury, even death, as a result of his/her participation in such athletic activities. I have weighed these considerations and approve of the participation of my son/daughter/dependant named on this page. Participants hold the responsibility to perform only approved safe techniques in practice and games.

Sianghngachiah nih lentelh an I celh mi hi fak pi in  I khong I thi nak tiang um kho mi asi. Mah khong deng nak hi a um sual tikah kan mah sianginn nih tlantlak loin siang hngakchiah nih mah tein tlan I tlak ding asi lai.
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Required
ATHLETICS POLICY
I have reviewed the ATHLETIC HANDBOOK and have discussed all of the information contained in it with my son/daughter/dependent. We (parent/guardian/student) understand that he/she must completely comply with all facets of the ATHLETIC HANDBOOK and ACADEMIC ELIGIBILITY PROGRAM laid out in the PARENT & STUDENT HANDBOOK found in the CURRICULUM AND INSTRUCTION section twelve months of the year. I have sought and received an explanation for anything I did not understand. It is the student's responsibility to read and follow the LAA (Lutheran Athletics Association) and school eligibility rules. 

Lentelg celh nak cauk chung in a tial mi vial te hi kan mah nu le pa, fa le ni9h kan thei ko . Hi cauk instruction kumkhat chung an tial mi hi hrifial nak ka ngeih. LAA (Lutheran Athletics Association) an tuah mi zulh phung  Ka thei lo mi vial te cu siang hngakchiah nih a mah tein rel lai I zulh  lai.
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Required
TRANSPORTATION POLICY
I realize that it is my responsibility to make sure that my student has a ride to and from away games or off-campus events. If the student cannot find a ride he/she must then contact the coach, who will assist in finding a ride. 

Kan mah nu le pa nih siang hngakchiah practice nak le lentelcelh tikah dong le thla hi  nu le pa nih tlantlak dingasi. Nu le pa I manh lo caan ah thla le dong an ngeih lo si ah cun  an coach te pe tlai/chawn in an coach nih thla le bawm tu kawl piak lai.
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SPORTS PHYSICALS POLICY
It is highly recommended, but not required, that each child have a physical examination by the family doctor every two years before participating in any practices or games (consistent with WIAA requirements). The signed Athletic Physical Card must be filled with school office personnel. Parents/Guardians who elect not to have their child examined  by a doctor consent to this SPORTS PHYSICAL WAIVER: 
My son/daughter/dependant will not be having a physical examination by a licensed physician in order to participate in any sporting events during the current school year. To the best of my knowledge, my son/daughter/dependant is in good medical condition and should be able to practice and compete in the sporting events he/she has chosen to participate in without incident. 

Siang hngakchiah nih lentelcelh kho nak ding caah Kum hnih dangah Doctor te sin ah an I piah nak physical form office ah n arak phih asi lai, nain nule pa nih Doctor sin ah I piah loin ka fanu/pa hi an ngam dam ko na ti si ah cun na fa nu/ pa nih khong deng lo/ ral ring telh celh kho asi ko.
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CONCUSSION POLICY
We (parent/guardian and student) have read the Wisconsin Fact Sheet for Parents and Athletes and signed and turned in the Parent and Athlete Agreement form to the Coach/Athletic Director to be kept on file for the current school year. 

Kan mah nu le pa le siang hngakchiah nih Wisconsin Fact Sheet kan relh hnu in , nule pa le kan  fa le lentelh a celh mi nih  mah form hi kan lung a tling ko tiah kan sign I Coach/Athletic Director nih sianginn an kai kum ah file ah a chiah dingin kan pe.
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Required
Having been cautioned and warned, I fully understand and agree to the participation of the above named student-athlete in athletic activities under the conditions described on this form. Furthermore, I release St. John’s Milw School, members of the School Board, and their respective employees and agents from any liability and claims for injury and illness that may occur during participation in any practice and/or event which is in any way related to the co-curricular activity. I further understand that St. John’s Milw School does not provide health insurance on behalf of participants in such co-curricular activities, and that the responsibility for medical coverage for any injury or illness sustained as a result of participation in such athletic activities does not lie with St. John’s Milw School. I understand that this release will apply to myself and personal representatives, heirs, and assigns and will remain in effect for the 2019-2020 school year. 

SIGN BY TYPING NAME (FIRST, LAST). 

A cung lein in siang hngakchiah hi lentelcelh le kong lam an tial/ chim mi vial te hi ka lung a tling. Sign ding caan ah na min kha tial (first, last).
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