I hereby give my permission for the above named student to engage in C.I.A.C or East Catholic High School approved interscholastic athletic activities, intramurals or physical education classes. I also give consent for the above named student to accompany the team or group on any trips or competitions. I understand that in the event of injury, reasonable action will be taken by the school or its representative or coach to secure appropriate medical care, as indicated in Part C below. In such event, my insurance coverage will be the primary insurance for such provided care. I understand that there is a supplemental policy provided by the school through an independent organization.
Part B: Parent/Guardian and Student Rule Awareness Verification
I have read and understand the rules, regulations, policies, and responsibilities as stated in the East Catholic student handbook, and in the C.I.A.C. Rules and Regulations, and the penalties for violation of either. I understand and accept these rules, regulations, policies, and accompanying penalties as condition for participation.
Part C: Parent/Guardian Medical Consent
I hereby give my consent, in the event of injury or illness, for emergency medical treatment, hospitalization, or other medical treatment as may be necessary for the welfare of the above named student, by a physician, qualified nurse, certified athletic trainer, and/or hospital or urgent care center during all periods of time in which the student is away from his/her legal residence as a member of a team or group activity. Further, I hereby waive, on behalf of myself and the above named student, any liability of East Catholic High School, the Office of Catholic Schools, the Archdiocese of Hartford, its agents, or employees, arising out of such medical treatment.
Part D: Parent/Guardian
I understand and acknowledge that organized high school athletics, intramurals and physical education classes involve the potential for injury which is inherent in all sports or similar activities. I acknowledge that even with the best coaching, use of the most advanced protective equipment, and strict observance of rules and regulations, injuries are still a common possibility. On rare occasions, these injuries can be so severe as to result in total disability, paralysis, or even death.
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We understand and acknowledge that we have read and understand all aspects of this form and grant permission and consent to participate as noted.