VISITATION SCHOOL

WAIVER OF LIABILITY AND PERMISSION TO PARTICIPATE IN ATHLETIC ACTIVITIES

I. PLEASE CHECK THE SPORT FOR WHICH YOUR CHILD INTENDS TO TRY OUT (ONE PER SEASON):

CAA TEAMS

MSHSL UPPER SCHOOL TEAMS

(Students in grades 7 & 8 are eligible to try out.)

II. WAIVER OF LIABILITY AND PERMISSION TO PARTICIPATE.

I (name entered above) am the parent of (name entered above) (hereinafter “my child”), a student who is enrolled at Visitation School. I understand that the Visitation School offers students the opportunity to participate in school sponsored extracurricular athletics and that such participation is completely voluntary. I recognize and understand that any athletic activity involves physical activity and inherent risks, including but not limited to the risk of physical injury or death. I also understand that these risks will exist despite careful planning and adequate supervision. I represent that my child is sufficiently healthy and otherwise fully capable of participating in the activity I have identified. I further represent that I have had any health concerns reviewed by a physician and that my child has been cleared by his physician to participate in the activity. Knowing the inherent risks and dangers involved, I hereby voluntarily assume such risks and grant permission for my child to participate in the school sponsored athletic activities I have checked above.

In consideration for the Visitation School sponsoring the extracurricular athletic activity identified above, and knowing the inherent risks and dangers that are involved, I hereby voluntarily waive, release, and forever discharge the Visitation School and its current and former board members, officers, directors, employees, agents, insurers, and representatives from any and all liability, actions, claims, and demands for personal injury, death, or property loss arising out of or relating to my child’s participation in the extracurricular athletic activity that I have identified above, including any damages that may occur in connection with my responsibility to transport my child to or from such activities. I further waive any right to bring any claims, demands, legal actions, or causes of action against the Visitation School, its board members, officers, directors, employees, agents, insurers, or representatives, unless they engage in gross negligence or willful and wanton misconduct that directly causes harm to my child.

In addition, I hereby agree to hold the Visitation School and its board members, officers, directors, employees, agents, and representatives harmless from any and all claims, demands, or liabilities for injury, death, or loss of property arising out of or relating to my child’s participation in the school sponsored extracurricular athletic activity that I have identified above, including any damages that may occur in connection with my responsibility to transport my child to or from such activities. This agreement will be governed by Minnesota law.

I am aware that the above activities may include transportation by charter bus, coach(s), parent(s), faculty/staff and/or student drivers and that the above activities may expose my child to risks and dangers, including but not limited to, the hazards of travel by various means and conveyances. I acknowledge and agree that I remain legally responsible for any actions taken by my child in connection with the above activities.

III. MEDICAL TREATMENT

I hereby voluntarily consent to care encompassing evaluation, medical treatment, and rehabilitation by the Registered / Certified Athletic Trainer employed by Visitation School, as necessary in her professional judgment for injuries sustained by participating in athletic activities.

I hereby authorize the Primary / Attending Physician to release medical information regarding the athlete and athletic injury sustained to the Registered / Certified Athletic trainer, for the continuity of care, including physician recommended protocol for treatment, rehabilitation, and reconditioning of a current or past athletic injury.

I hereby authorize the Volunteer primary Sports medicine physician to evaluate an injury or illness that occurs to the athlete while participating in extracurricular athletics.

In the event of an emergency, I give Visitation School permission to administer first aid and over-the-counter medications to my child, and to transport or make arrangements for transporting my child to a hospital for emergency medical evaluation and treatment.

As parent or guardian, I agree to all of the above statements regarding medical treatment to my child. I also agree to be financially responsible for any medical treatment that might be administered to my child in connection with the above activity.

I HAVE READ THIS DOCUMENT CAREFULLY. BY SIGNING BELOW, I ACCEPT THE TERMS AND CONDITIONS STATED ABOVE, AND I ACKNOWLEDGE TO BE LEGALLY BOUND BY THOSE TERMS AND CONDITIONS.