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Risk Acknowledgement and Consent
I/We realize that there are numerous risks involved in participating in the below listed sport(s). These risks could involve (but are not limited to): sprains, contusions, broken bones, lacerations, concussions, permanent disability, internal injuries, paralysis and possibly death. These risks could impair my/our child's future abilities to earn a living, engage in business, social, and recreational activities and to generally enjoy life. I/We have been informed about the various risks associated with our child's participation in the above listed sports and the potential injuries that may occur.
I/We assume all responsibility and certify my/our child is in good physical condition and has undergone a sports physical in the past two years. Further, I/we are unaware of any medical condition that would inhibit my/our child's participation.
As a condition of our child's voluntary participation in the below listed sport(s), I/we agree to accept all the previously mentioned risks as a condition of my/our child's participation.
*
Indicates required field
I/we have read, understand, and agree to the above statements.
*
Yes
No
Athlete's Name:
*
First
Last
Parent Name:
*
First
Last
Date Submitted: (mm/dd/yyyy)
*
Parent 2:
*
First
Last
Continue to Parent & Student Concussion Ackowledgement
Home
Calendars
Mass Schedule
Weekly Bulletin
Update My Information
Contact Us
Grow with Us
>
Our History
About Us
>
Parish Staff
Our Parish School
Our Ministries
>
For Kids
For Teens
For Adults
>
Visitation Speaker Series
Resources
Pray with us
Mass Times
Perpetual Adoration
Sacraments
Devotions
Funerals
>
Funeral Readings
Funeral Music
St. Mary's Cemetery
Serve with Us
Parish Calendars
Human Concerns
>
Respect Life
Prayer Request
Leadership
Music Ministry
Liturgical Ministries
Thrift Shop
Christian Women
Stewardship
Support our Parish
Make a Donation
Mass Intentions
Our Parish School
About our school
>
What sets us apart
Photo gallery
Curriculum
Tours, Tuition and admissions
In the News
School Calendar
Our School Staff
For Parents
For Students
Support Our School
After School Care
Athletics