• Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Participation/Transportation Permission/Indemnity : By signing this Agreement, I hereby agree that my student/athlete may participate in all camp activities. I agree, individually, and on behalf of the Student, to the maximum extent allowed by law, to indemnify, defend (including attorney’s fees) and hold BGA and its faculty, staff, volunteers, and any representatives or persons acting for BGA harmless of and from, and release same from, any liability, claims, and/or causes of action of any type for any losses, damages and/or injuries sustained by the Student and/or by us or anyone who may recover under any such claims or for any such losses or damages in connection with any activity in any way related to or associated with BGA, including, but not limited to on or off-campus activities, academic activities, athletic or other extracurricular activities, field trips and/or travel in or out of state or country or any other activity related to BGA Camps. I also understand, acknowledge and accept the inherent danger associated with particular BGA Camp activities and waive any claims to hold BGA and its faculty, staff, volunteers and any representatives or persons acting for BGA responsible for the same. This indemnity, hold harmless and release agreement also applies to such inherently dangerous activities.

  • Photography - I hereby authorize the right in perpetuity to use my child’s name, likeness, and voice in the form of photographs, tape, film, sound recording, or otherwise in any and all media including but not limited to television, radio and print for advertising of Battle Ground Academy. I hereby waive my rights and release Battle Ground Academy from any claim I may now or hereafter have of privacy, defamation or otherwise under the laws of Tennessee or other state or the laws of the United States in connection with such use. I acknowledge and agree that the advertising product which is the subject of this Authorization and Release and all copies and derivatives thereof shall belong solely to Battle Ground Academy to use, modify, or not use as the School may wish, including electronic publishing, internet or home video use, and I do not claim nor shall I claim any interest whatsoever in said product.

  • Concussion Waiver - A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by bump, blow, or jolt to the head or body that causes the head and brain to move rapidly back and forth. Even a ding, getting your bell rung or what seems to be a mild bump or blow to the head can be serious. Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days or weeks after the injury. If an athlete reports one or more symptoms of concussion listed below after a bump, blow, or jolt to the head or body, the player should be kept out of the play the day of the injury and until a health care professional, experienced in evaluating for concussion, says the player is symptom-free and it's ok to return to play. SIGNS OBSERVED BY COACHING STAFF Appears dazed or stunned In confused about assignment or position Forgets an instruction Is unsure of game, score or opponent Moves clumsily Answers questions slowly Loses consciousness even briefly Shows mood, behavior, or personality changes Can't recall events prior to hit or fall Can't recall events after hit or fall SYMPTOMS REPORTED BY ATHLETES: Headache or pressure in head Nausea or vomiting Balance problems or dizziness Double or blurry vision Sensitivity to light Sensitivity to noise Feeling sluggish, hazy, foggy, or groggy Concentration or memory problems Confusion Just not feeling right or feeling down CONCUSSION DANGER SIGNS In rare cases, a dangerous blood clot may form on the brain in a person with a concussion and crowd the brain against the skull. A player should receive immediate medical attention if after a bump, blow, or jolt to the head or body the player exhibits any of the following danger signs: One pupil larger than the other Is drowsy or cannot be awakened A headache that not only does not diminish, but gets worse Weakness, numbness, or decreased coordination Repeated vomiting or nausea Slurred speech Convulsions or seizures Cannot recognize people or places Becomes increasingly confused, restless or agitated Has unusual behavior Loses consciousness even a brief loss of consciousness should be taken seriously WHY SHOULD A PLAYER REPORT THEIR SYMPTOMS? If a player has a concussion, the brain needs time to heal. While a player's brain is still healing, they are much more likely to have another concussion. Repeat concussions can increase the time it takes to recover. In rare cases, repeat concussions in young players can result in brain swelling or permanent damage to their brain. They can even be fatal. WHAT SHOULD YOU DO IF YOUR THINK YOUR PLAYER HAS A CONCUSSION? If you suspect that a player has a concussion, remove the player from play and seek medical attention. Do not try to judge the severity of the injury yourself. Keep the player out of play the day of the injury and until a healthcare professional, experienced in evaluating for concussion, says the player is symptom-free and it's ok to return to play. Rest is key to helping a player recover from a concussion. Exercising or activities that involve a lot of concentration, such as studying, working on the computer, or playing video games, may cause concussion symptoms to reappear or get worse. After a concussion, returning to sports and school is a gradual process that should be carefully managed and monitored by a healthcare professional. IF A PARTICIPANT IS DIAGNOSED WITH A CONCUSSION, A PHYSICIAN NOTE IS REQUIRED BEFORE THE CAMPER MAY RETURN TO PARTICIPATE IN CAMP. I CONFIRM THAT I HAVE READ ALL THE ABOVE CONCUSSION INFORMATION AND HAVE DISCUSSED IT WITH MY SON/DAUGHTER.

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