2025 Little Knights Track Clinic

Parent Or Legal Guardian*

First NameLast Name

Participant's Name*

First NameLast NameGrade Level for 24-25 School Yearl

Mobile Number*

Track Clinic for One Participant Product Image

Track Clinic for One ParticipantYour child will receive instruction on sprints and distance running, long jump, hurdles, and shot put throughout the week ending with a track meet on that Thursday. Performance times and distances will be written on their luggage tag that they will receive at the conclusion of the meet.

$55.00 QuantitySize

Total

$0.00

Waiver of Liability and Release
I blanks* the parent or legal guardian of blank*

In consideration of my child being allowed to use Farmington R7 School District sponsored activities, I assume any and all risks, including risk of injury or death, associated with my child’s participation in said activities. I further agree on behalf of myself, my heirs, executors, assigns, and personal representatives, to waive and release any and all rights and claims for damages, including attorney fees, I now, or may hereafter have, whether known or unknown, against Farmington R7 School District and its officials, employees and agents for any injuries suffered by me or my child in connection with participation in Farmington R7 School District sponsored activities and transportation. I acknowledge that I have carefully read this Waiver of Liability and fully understand that I am waiving any right that I may have to bring legal action or to assert a claim against Farmington R7 School District

Consent to Medical Care and Treatment of Minor Children
I blanks* the parent or legal guardian, hereby give my permission that my child, blank*

may be given emergency treatment to include first aid and /or CPR by a qualified representative of Farmington R7 School District. I further authorize and consent to medical, surgical and hospital care, treatment and procedures to be performed for my child by a licensed physician or hospital when deemed immediately necessary or advisable by the physician to safeguard my child’s health in case I cannot be contacted. I waive my right of informed consent to such treatment. I also give my permission for my child to be transported by ambulance or aid car to an emergency center for treatment.

By signing this form, I consent to the above information.*