* indicates required field
1. I hereby certify that I am the parent/guardian of the player named above, and that to the best of my knowledge, he/she is physically fit to participate in sports. I hereby consent to said player competing in the program sponsored by Mother Teresa Catholic Elementary School. 2. It is understood that by signing this contract, I agree to abide by the rules and regulations of the school and team. It is also understood that signing this contract releases from liability: Mother Teresa Catholic Elementary School, the team, the Booster organization, sponsors, coaches, managers, in connection with any injury to the above mentioned player. 3. I further agree that he/she may be transported when necessary, in privately owned vehicles to and from places of such activities, and will not hold these drivers responsible for any injury to my child in case of an accident. 4. Insurance: It is the responsibility of each parent/guardian to adequately cover a child participating in Mother Teresa Catholic Elementary School athletic activities with proper insurance. 5. In case of an emergency, we require the following information:
Parent’s names and number to be reached in the event of an accident:
Relative or neighbor to be called in the event the parents cannot be reached:
I am aware that playing or practicing to play/participate in any sport can be a dangerous activity involving many risks of injury. I understand that the dangers and risks of playing or practicing to play/participate in the above mentioned sport include, but are not limited to death, serious neck and spinal injuries which may result in complete or partial paralysis, injury to virtually all bones, joints, ligaments, muscles, tendons, and other aspects of the skeletal systems, and serious injury or impairment to other aspects of my body, general health and well being. I understand that the dangers of playing or participating to play/participate in the above mentioned sport may result not only in serious injury, but in serious impairment of my future abilities to earn a living, to engage in other business, social, and recreational activities, and generally enjoy my life. We hereby acknowledge that we have been properly advised, cautioned, and warned by the proper administrative and coaching personnel of Mother Teresa Catholic Elementary School that by playing or practicing to play/participate in sports, I am exposing myself to the above described risks.
We hereby release and discharge Mother Teresa Catholic Elementary School and their coaches, agents, employees, officers, and administration from all claims, demands, actions, judgments, and executions which the undersigned ever had, or now has, or may have, or which the undersigned’s heirs, executors, administrators, or assigns may have, or claim to have against Mother Teresa Catholic Elementary School, their coaches, agents, employees, officers, and administrators, and their successors and assigns, for all personal injury to my child, who is listed above, including personal injuries caused by negligence, or otherwise, known or unknown, and injuries to property, real or personal, caused by, or arising out of the above described sports activities prior to, during or following the above mentioned school year. I, the undersigned, have read this release and understand all its terms, I execute it voluntarily and with full knowledge for its significance. In witness whereof, I have executed this release the day and year first above written.
Electronic signature: By clicking the I ACCEPT button, you agree that your electronic signature has the same validity and effect as your handwritten signature.
