League exclusive to students who live in the 74127 zip code
MEDICAL RELEASE AND AUTHORIZATION FORM
I hereby authorize the Staff/Trainers of The Common Good Tulsa and/or FC Tulsa to act for me according to their best judgement in any emergency requiring immediate medical attention, and I hereby waive and release the Staff/Trainers of The Common Good Tulsa and/or FC Tulsa from any/all liability for injury/illness incurred while attending this training session. I have no knowledge of any physical impairment that would be affect my participation in the session as outlined in the information *
In case of emergency, I hereby give our (my) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any.
Further, should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, we (I) hereby assume all transportation costs.
This authorization and permission form is valid for all The Common Good activities for the 2022-2023 school year.
Release Form for Media Recording
I, the undersigned, do hereby consent and agree that The Common Good, its employees, Board members, volunteers, and agents have the right to take photographs, videotape, or digital recordings of me and use these in any and all media, now or hereafter known, and exclusively for the purpose of advertising or promoting The Common Good or any entities with which we partner. I further consent that my name and identity may be revealed therein or by descriptive text or commentary.
I do hereby release to The Common Good, its Board, employees, volunteers, and agents all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used.
I understand that there will be no financial or other remuneration for recording me, either now or in the future.
I also understand that The Common Good is not responsible for any expense or liability incurred as a result of my participation in this recording.
I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.
I hereby authorize The Common Good Tulsa and/or FC Tulsa, to use any pictures, video or other marketing material of me for promotional purposes or advertising as deemed appropriate. *
For children under 18 years of age, Parent/Guardian Name signature is required:
THE COMMON GOOD
RELEASE OF LIABILITY FORM
In consideration of my child participating in The Common Good’s Learning Center activities. We/I, do for ourselves (myself) and for and on behalf of my/our child-participant do hereby release, forever discharge and agree to hold harmless The Common Good and its employees, Board members, volunteers, and agents thereof from any and all liability, claims, or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and child-participant that occur while said child is participating in the activity sponsored by The Common Good.
Furthermore, We/I and for and on behalf of our/my minor child-participant if under the age of 21 years hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participating in recreation and work activities involved therein.
The undersigned further hereby agree to hold harmless and indemnify The Common Good, its employees, board members, volunteers, and agents, for any liability sustained by The Common Good as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereof.
i HAVE READ THE FOREGOING AND UNDERSTAND THE BEHAVIORAL COVENANT FOR PARTICIPANTS AND WILL ABIDE BY THEM AS WELL AS THE DIRECTIONS OF THE LEADERSHIP OF THE COMMON GOOD’S LEARNING CENTER ACTIVITIES.