Visitation Open Training and Captains Practices Waiver

Required

Basketball Open Gym Datesrequired
Volleyball Open Gym Datesrequired
Student Athlete Namerequired
First Name
Last Name
Parent/Guardian Namerequired
First Name
Last Name
Emergency Contactrequired
First Name
Last Name

Waiver of Liability and Permission to Participate

I am the parent of the registered student- athlete (hereinafter “my child”), a student who is enrolled at Visitation School. I understand that 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 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 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 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 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, coaches, 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.

Medical Treatment
I hereby voluntarily consent to care encompassing evaluation, medical treatment, and rehabilitation by the Certified Athletic Trainer contracted
through Twin Cities Orthopedic, as necessary in his/her professional judgment. I hereby authorize the Primary / Attending Physician to release medical information regarding the athlete and injury sustained to the 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 Certified Athletic Trainer 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 and its agents 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 for 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 IN ITS ENTIRETY. BY SIGNING BELOW, I ACCEPT THE TERMS AND CONDITIONS STATED ABOVE, AND I ACKNOWLEDGE TO BE LEGALLY BOUND BY THOSE TERMS AND CONDITIONS.
Parent Guardian Name/SignaturerequiredThis is your electronic signature.
First Name
Last Name
This is your electronic signature.
Must contain a date in M/D/YYYY format
Student-Athletes Name/SignaturerequiredThis is your electronic signature.
First Name
Last Name
This is your electronic signature.
Must contain a date in M/D/YYYY format

You may still register for this training. We are no longer accepting credit cards. You must bring a check with you to your first session. Checks need to be made out to Training Haus.