Waiver Form - Required
Release & Waiver: I/We the parents or legal guardians of the player named above, a participant in the St. Columbkille athletic program, hereby give my/our permission for the player to participate in any and all St. Columbkille activities and events. I understand that athletics and sports are activities which can cause serious injury, for which I am voluntarily giving my child permission to participate in. I/We on behalf of us and the player, assume all risks and hazards incidental to the player's participation, including the risk of injury and/or death, occurring as a result of participation, observation and transportation to and from activities. I/We, on behalf of us and the player, hereby agree to indemnify and hold harmless, St. Columbkille, their organizers, sponsors, employees, all practice field providers, administrators, volunteers, coaches, referees, assistants, or anyone transporting the player to and from activities, and anyone preparing any playing field from any and all claims for negligent, willful, wanton, unintentional, accidental, or intentional acts or omissions which may occur at any time during the season, practices, games, or transportation. Notwithstanding the above stated language and without the waiver of any defense of immunity, under the statute or common law from any protected person, the execution of this release/waiver and hold harmless agreement, limits the signer and participating child’s right to recovery only to any applicable insurance policy of St. Columbkille or its insurance representatives. I/We hereby certify that sufficient accident and liability insurance covers the player and that I/we will maintain such coverage in force at my/our expense while he/she participates in the St. Columbkille athletics  Program. I/we further certify that our child is covered by Medical Insurance which will remain in-force throughout the season, and that the child is medically and physically able to safely participate and compete in athletics.

Hold Harmless & IndemnityAgreement: The Participant and/or Family agrees to defend, protect, indemnify, and hold harmless St. Columbkille Parish and Athletics (parish staff and volunteers) from all claims arising from the negligence or fault of the above named Track Participant and/or Family or any of their agents, family members, officers, volunteers, helpers, partners, organizational members or associates which arise out of the above named Athletics at St. Columbkille. Additionally, the above named Participant and/or Family agrees to protect, defend, and hold harmless, St. Columbkille Parish and Athletics for any claims or cause of action whatsoever arising out of Athletics which takes place during Athletics that is brought against St. Columbkille Parish and/or Athletics by the above named Participant and/or family or their family members whether such claim arises from the alleged negligence of St. Columbkille Parish and/or Athletics, its employees or agents, or Participant and/or family’s negligence. If any portion of this agreement is held invalid, it is agreed that the balance thereof, shall continue in full legal force and effect.

St. Columbkille Parent/Guardian Code of Ethics
I hereby pledge to provide positive support, care & encouragement for my child participating in youth sports by following this Code of Ethics. I understand that the Athletic Program at St. Columbkille Parish is part of the parish’s effort to form disciples of Jesus.

I will encourage good sportsmanship by demonstrating positive support for all players, coaches, & officials at every game, practice or other youth sports events.

I will place the emotional & physical well being of my child ahead of any personal desire to win.

I will insist that my child play in a safe environment.

I will provide support for coaches and officials working with my child to provide a positive, enjoyable experience for all.

I will demand a drug, alcohol & tobacco-free sports environment for my child & agree to assist by refraining from its use at all youth sports events.

I will remember that the game is for children and not for adults.

I will do my best to make youth sports fun for my child.

I will ask my child to treat other players, coaches, fans, and officials with respect regardless of race, sex, creed or ability.

I will promise to help my child enjoy the youth sports experience within my personal constraint by assisting with coaches, being a respectful fan, providing transportation or whatever I am capable of doing.

I will assist as needed by volunteering to work at athletic functions (i.e. concessions, admissions table, time clock, scorebook, and any other athletic event needs).

I will ensure my child’s commitment to the team by coordinating his/her attendance & timeliness at all practices and games.

I will refrain from using abusive language, and from contradicting or belittling coaches, officials, players, or other teams.

I will not use social media to express negative comments or opinions about coaches, players or others participating in the Athletic Program.

Your signature below indicates that you have read the above Parent/Guardian Code of Ethics and agree to abide by its contents.

St. Columbkille Athletics Player Commitment

I understand that playing sports for St. Columbkille is a privilege and an honor. I also understand that the parish is forming me as a disciple of Jesus Christ and my actions should reflect the actions of a disciple. Therefore, I promise to conduct myself in accordance with the following:

I will do my best to learn the fundamental skills and strategies of my sport.

I will become familiar with the rules of my sport and make a sincere effort to learn the finer points of the sport and strategies.

I will, to the best of my ability, maintain appropriate academic and behavioral expectations.

I will play for St. Columbkille as my primary team, unless I have received the express permission of my coach prior to the beginning of the season.

I will attend all practices and games, unless I have given my coach reasonable notice of my planned absence.

I will treat each player, opposing coach, official, parent and administrator with respect & dignity.

I will conduct myself in all contests in a manner that will bring honor to my team & my parish.

I will uphold the authority of officials who are assigned to the contest in which I play, & will assist them in every way to conduct fair and impartial competitive contests.

I will refrain from making derogatory comments about my teammates or opposing players verbally or in social media sites.

I will recognize the value and contribution of each team member and recognize the importance of being a contributor to the team

I will keep the importance of winning or losing in perspective.

I will act to encourage my teammates through positive comments and actions.

I will respect the property and gym of St. Columbkille and each opposing team, and will do nothing to harm or destroy that property.

I will do my very best to pay attention at games and practices, give my very best effort in games and practices, and try to prepare myself to the best of my ability.

I will regularly pray for my teammates and those from other teams.

With my signature, which I voluntarily affix to this agreement, I acknowledge that I have read, understood, & will do my best to fulfill the promises made herein.

St. Columbkille Athletics
Nebraska Catholic Conference
Verification of Receipt of Concussion and Brain Injury Information

The undersigned hereby acknowledge and attest that St. Columbkille Athletics, which has organized an athletic activity in which the youth athlete identified below intends to participate, has provided them with concussion and brain-injury information (e.g., the sheet so titled)  The undersigned further acknowledge and attest to their understanding that the information they have been provided pertains to requirements of state law – the Nebraska Concussion Awareness Act – and includes information about the signs and symptoms of a concussion; the risks posed by sustaining a concussion; the actions a student athlete should take in response to sustaining a concussion, including notification of his or her coach or coaches; and the conditions prescribed by law for returning to participation in athletic activities involving physical exertion.

The signature of the Youth Athlete is only required below if age-appropriate; otherwise, the parent/guardian is also signing on behalf of the student athlete.

ST. COLUMBKILLE ATHLETICS
INFECTIOUS DISEASE ASSUMPTION OF RISK/WAIVER OF LIABILITY
HOLD HARMLESS AGREEMENT

In consideration of being allowed to participate in the St. Columbkille
Athletics program and have access to its athletic facilities and/or
grounds, the undersigned participant acknowledges and agrees that:

1. My activity may result in possible exposure to and illness from infectious diseases, including but not limited to MRSA, Influenza, and COVID-19. I understand that if I become infected with an infectious disease, serious
illness and even death could occur;

2. I knowingly and freely assume all such risks, both known and unknown;

3. I willingly agree to comply with customary terms and conditions for protection against infectious diseases, including washing my hands thoroughly and frequently, maintaining safe distances from others, and staying home if exhibiting a fever, sustained cough, or other symptoms associated with COVID-19. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from the situation and bring such hazard to the attention of a school official immediately; and

4. I hereby release and hold St. Columbkille Athletics, as well as its employees, agents, volunteers, and other participants (together, “releasees”), harmless from any and all liability arising from my participation in such
athletic activities and presence in the facilities and/or grounds.

FOR PARTICIPANTS OF MINORITY AGE (UNDER 19):

This is to certify that I, as a parent/guardian, with legal responsibility for the above-referenced participant, have read and explained the provisions in this waiver/release to my child/ward, and explained his/her personal responsibility for guarding against exposure to infectious diseases. Furthermore, my child/ward
understands and accepts these risks and responsibilities. I, for myself, my spouse, and child/ward, also release and hold harmless the Releasees from any and all liability arising from my child’s/ward’s participation in such athletic activities and presence in the facilities and/or grounds.

Photo Release Form
As a parent or guardian of this youth athlete, I hereby consent to the use of photographs taken during
the course of the school year for publicity, promotional and/or educational purposes (bulletin, newsletters, presentation, Athletics website or other media sources).

ONLINE PAYMENT VIA PAYPAL
SELECTION OF GRADE