WESTMINSTER ACADEMY ATHLETICS PARTICIPATION WAIVER                        2025-2026 Logo
  • WESTMINSTER ACADEMY ATHLETICS PARTICIPATION WAIVER 2025-2026

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  • 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.

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