• ADDITIONAL PERMISSIONS

  • PIAA (A).
    I hereby give my consent for born on who turned      on his/her last birthday, a student of    School and a resident of the      public school district, to participate in Practices, Inter-School Practices, Scrimmages, and/or Contests during the 20      -20      school year in the sport(s) as indicated by my signature(s) following the name of the said sport(s) approved below.

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  • PIAA (B).Understanding of eligibility rules: I hereby acknowledge that I am familiar with the requirements of PIAA concerning the eligibility of students at PIAA member schools to participate in Inter-School Practices, Scrimmages, and/or Contests involving PIAA member schools. Such requirements, which are posted on the PIAA Web site at www.piaa.org, include, but are not necessarily limited to age, amateur status, school attendance, health, transfer from one school to another, season and out-of-season rules and regulations, semesters of attendance, seasons of sports participation, and academic performance.

  • PIAA (C). Disclosure of records needed to determine eligibility: To enable PIAA to determine whether the herein named student is eligible to participate in interscholastic athletics involving PIAA member schools, I hereby consent to the release toPIAA of any and all portions of school record files, beginning with the seventh grade, of the herein named student specifically including, without limiting the generality of the foregoing, birth and age records, name and residence address of parent(s) or guardian(s residence address of the student, health records, academic work completed. grades received. and attendance data.

  • PIAA (D). Permission to use name, likeness, and athletic information: I consent to PIAA's use of the herein named student's name, likeness. and athletically related information in video broadcasts and re-broadcasts, webcasts and reports of Inter-School Practices, Scrimmages, and/or Contests, promotional literature of the Association, and other materials and releases related to interscholastic athletics.

  • PIAA (E). Permission to administer emergency medical care: I consent for an emergency medical care provider to administer any emergency medical care deemed advisable to the welfare of the herein named student while the student is practicing for or participating in Inter-School Practices, Scrimmages, and/or Contests. Further, this authorization permits, if reasonable efforts to contact me have been unsuccessful, physicians to hospitalize, secure appropriate consultation, to order injections, anesthesia (local, general, or both) or surgery for the herein named student. I hereby agree to pay for physicians' and/or surgeons' fees, hospital charges, and related expenses for such emergency medical care. I further give permission to the school's athletic administration, coaches and medical staff to consult with the Authorized Medical Professional who executes Section 7 regarding a medical condition or injury to the herein named student.

  • PIAA (F). Confidentiality: The information on this CIPPE shall be treated as confidential by school personnel. It may be used by the school's athletic administration, coaches and medical staff to determine athletic eligibility, to identify medical conditions and injuries, and to promote safety and injury prevention. In the event of an emergency, the information contained in this CIPPE may be shared with emergency medical personnel. Information about an injury or medical condition will not be shared with the public or media without written consent of the parent(s) or guardian(s

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  • I hereby acknowledge that I am familiar with the nature and risk of concussion and traumatic brain injury while participating in interscholastic athletics, including the risks associated with continuing to compete after a concussionor traumatic brain injury.

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  • I have reviewed this form and understand the symptoms and warning signs of SCA have also read the information about the electrocardiogram testing and how it may help to detect hidden heart issues.

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  • We willingly agree to comply with the stated guidelines put forth by the student's school and PIAA to limit the exposure and spread of COVID-19 and other communicable diseases. We certify that the student is, to the best of our knowledge, in good physical condition and allow participation in this sport at our own risk. By signing this Supplement, we acknowledge that we have received and reviewed the student's school athletic plan.

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  • PADA WAIVER - PLAYER UNDER 18

  • In consideration of my minor child being permitted to participate in the PHILADELPHIA AREA DISC ALLIANCE ("PADA") sponsored Activities ("Activities") I agree to the following:

    1. I understand that PADA organizes and manages leagues and tournaments for the sport known as Ultimate Frisbee (hereinafter "Ultimate" I understand the nature of Ultimate to be a physical activity which involves significant running and jumping. While Ultimate is a non-contact sport,I understand that collisions between players can occur and collisions between the player and the ground can occur. I understand that participants in PADA Activities range in age from 16 to 50 and that play often involves both genders on the same field at the same time. I fully understand that: (a) PADA Activities involve risks and dangers of SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, BLINDNESS, PARALYSIS AND DEATH ("Risks"); (b) these Risks and dangers may be caused by the Minor's own actions, or inaction's, the actions or inaction's of others participating in the Activity, and the conditions in which the Activity takes place; (c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES incurred as the result of the Minor's Participation in the Activity.

    2. I know Minor's experience and physical capabilities and believe the Minor to be qualified to participate in PADA Activities. I further agree to instruct the Minor that if at any time the Minor believes conditions of the Activities to be unsafe, he/she shall immediately discontinue participation in the Activity.

    3. I hereby release, discharge, covenant not to sue, and agree to hold harmless PADA, their respective administrators, directors, officers, volunteers and employees, other participants and if applicable, owners or lessors of premises where Activities are held from all liability, claims, demands, losses, or damages on the Minor's account caused or alleged to be caused in whole or in part by their negligence, including negligent emergent care assistance.

    4. I understand that in the event Minor requires medical assistance, effort will be made to contact me, but should such effort fail, I agree to permit Minor to be transferred to the nearest hospital or medical care facility.

    I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I AND THE MINOR HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT. I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

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  • PADA WAIVER - PLAYER OVER 18

  • In consideration of my being permitted to participate in the PHILADELPHIA AREA DISC ALLIANCE ("PADA") sponsored Activities ("Activities") I agree to the following:

    1. I understand that PADA organizes and manages leagues and tournaments for the sport known as Ultimate Frisbee (hereinafter "Ultimate" I understand the nature of Ultimate to be a physical activity which involves significant running and jumping. While Ultimate is a non-contact sport,I understand that collisions between players can occur and collisions between the player and the ground can occur. I understand that participants in PADA Activities range in age from 16 to 50 and that play often involves both genders on the same field at the same time. I fully understand that: (a) PADA Activities involve risks and dangers of SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, BLINDNESS, PARALYSIS AND DEATH ("Risks"); (b) these Risks and dangers may be caused by the player's own actions, or inaction's, the actions or inaction's of others participating in the Activity, and the conditions in which the Activity takes place; (c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES incurred as the result of my participation in the Activity.

    2. I hereby release, discharge, covenant not to sue, and agree to hold harmless PADA, their respective administrators, directors, officers, volunteers and employees, other participants and if applicable, owners or lessors of premises where Activities are held from all liability, claims, demands, losses, or damages caused or alleged to be caused in whole or in part by their negligence, including negligent emergent care assistance.

    I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT. I INTEND IT TO BEACOMPLETEAND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

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  • RADNOR ULTIMATE FRISBEE CLUB PLAYER EXPECTATIONS

    Drug and Alcohol Use - Radnor High School policies apply (see DRUG ABUSE AND ALCOHOLIC BEVERAGES section of the RHS Student Handbook) In addition, the coaches will reserve the right to extend the player's suspension beyond the school's policy or expel students from the team for any infraction under this policy.

    Tobacco Use - Tobacco use is illegal for anyone under the age of 18 and is detrimental to health and athletic performance. Use of tobacco products by an RUF player of any age will not be tolerated. The coaches reserve the right to suspend a player from practices and/or games if that player is observed using these products. In addition, RHS school policies apply (see Possession or use of cigarettes or tobacco products on school grounds or on school vehicles section of RHS Student Handbook)

    Academic Eligibility - Radnor High School policies apply (see ELIGIBILITY FOR ACTIVITIES AND ATHLETICS section of the RHS Student Handbook

    Attendance - Every practice is important. Athletes are expected to attend all practices. If you are going to miss a practice, game or tournament, it's your responsibility to inform one of your captains and/or coach prior to your absence. Absences may affect a player's playing time during games/tournaments. During the spring season, attendance will impact the earning of JV/Varsity letters.

    Punctuality - Be on time, our field time is limited and precious. Arriving late to practices/games can be disruptive to the team and will interrupt what your coach is working on. Repeated tardiness may affect your letter eligibility during the spring season.

    Attitude & Conduct - You are expected to come to practices, games and tournaments with a positive attitude. Any unsportsmanlike conduct at any time will not be tolerated (i.e. foul language, disrespect toward coaches, teammates, other players, vandalism, etc and could be cause for being removed from a game, sat at practice and/or suspended from the team. Players are expected to leave the fields as they were found by removing all trash and belongings.

  • We have read and understand the player expectations as stated and agree to abide by these expectations during the Ultimate season.
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  • RADNOR ULTIMATE FRISBEE CLUB TRANSPORTATION

    This form must be signed by the parent or guardian of a student who intends to play Ultimate.

    Radnor Ultimate Frisbee (RUF) is considered a club at Radnor High School. Although RUF has the endorsement of the school, the school does not provide financial support or transportation for the players. Students are responsible for their own transportation to all team activities including practices, games and all other team events. As a result, carpools often form to transport players to/from team activities.

    If your child does not have your permission to ride with other players, other parents, and/or coaches, it is your responsibility to provide transportation for your child and to ensure that your child does not accept rides from others. In addition, if you do not want your child to drive other players, other parents, and/or other coaches, it is your responsibility to let your child know and to ensure that your child does not offer rides to others. The Radnor Ultimate Frisbee Club is not responsible for arranging transportation or for the safety of players traveling to/from team activities.

    I understand that it is my responsibility to make sure that my player knows the arrangements I have made for transportation and follows my instructions regarding accepting rides from or giving rides to others. I also understand that the Radnor Ultimate Frisbee Club is not responsible for my player's transportation or safety while traveling to/from team events.

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