Permission to Participate
I hereby give my permission for the above-named student to practice, compete, and represent the school in interscholastic sports with the exception of any restrictions as noted on the current, effective physical examination card as completed by a licensed physician/medical staff. No athlete will be permitted to participate until this form is signed and on file in the athletic office. This form serves as a notification of parental (guardian) permission to participate in sports at Westminster Academy.
Permission for Emergency Medical Care and Conveyance
I further grant permission for my son/daughter, named above, in case of injury as a result of athletic participation, to be given emergency attention/care by the coaching staff, athletic trainer, or any other physician present, and to be conveyed to an emergency medical facility, if needed. I understand that all medical costs that could occur from such conveyance and subsequent treatment are the sole responsibility of the parents/guardians, and | understand that Westminster Academy will assume no liability for the cost of said conveyance or treatment.
Informed Consent
I understand that injuries could occur as a result of participation in athletics. I understand that these injuries could include minor injuries such as bruises or abrasions, muscle strains, sprains, or broken limbs. I understand that it is possible that a catastrophic injury could occur rendering my son/daughter paralyzed, and that death could also occur as a result of a catastrophic injury.
Insurance Waiver
I certify that I have adequate insurance coverage on the above-named student to cover medical expenses in the event of an athletic-related accident or injury.
Signature
By signing this form I am attesting to the fact that I understand and agree to all conditions set forth on this form and that if I have not understood any information, I have sought and received an explanation, and I am fully aware that I am granting permission for the above-named student to participate in the Westminster Academy Athletic Program.