Release and Waiver of Liability and Indemnity Agreement
In consideration for being permitted to utilize the facilities, services, and programs of the CCS for any purpose, including but not limited to observation or use of facilities or equipment, or participation in any program affiliated with the CCS, without respect to location, the undersigned, for himself or herself and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that he or she has, or immediately upon entering or participating will inspect and carefully consider such premises and facilities or the affiliated program. It is further warranted that such entry into the CCS for observation or use of any facilities or equipment or participation in such affiliated program constitutes an acknowledgement that such premises and all facilities and equipment thereon and such affiliated programs have been inspected and carefully considered and that the undersigned finds and accepts same as being safe and reasonably suited for the purpose of such observation, use, or participation. IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE CCS FOR ANY PURPOSE, INCLUDING BUT NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY PROGRAM AFFILIATED WITH THE CCS, WITHOUT RESPECT TO LOCATION, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:
THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements, or inducement apart from the foregoing written agreement have been made.
Cascade Christian Thrive Programs Concussion Awareness
Cascade Christian Schools believes participation in athletics improves physical fitness, coordination, self-discipline, and gives students valuable opportunities to learn important social and life skills. With this in mind it is important that we do as much as possible to create and maintain an enjoyable and safe environment.
As a parent/guardian or student, you play a vital role in protecting participants and helping them get the best from sport.
Player and parental education in this area is crucial, which is the reason for the Concussion Management and Sudden Cardiac Arrest Awareness information you are receiving.
Refer to it regularly. This form must be signed annually by the parent/guardian prior to participation in Cascade Christian Thrive Sports Camps.
If you have questions regarding any of the information provided, please contact the Thrive Program Director at your school.
Concussion Awareness A concussion is a brain injury, and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force transmitted to the head. They can range from mild to severe, and can disrupt the way the brain normally works.
Even though most concussions are mild, all concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed properly. In other words, even a “ding” or a bump on the head can be serious. You can’t see a concussion, and most sports concussions occur without loss of consciousness. Signs and symptoms of concussion may show up right after the injury, or can take hours or days to fully appear. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of a concussion yourself, seek medical attention right away.
Symptoms may include one or more of the following:
* Headaches* “Pressure in head” * Nausea or vomiting* Neck Pain* Balance Problems or dizziness * Blurred, double, or fuzzy vision * Sensitivity to light or noise* Feeling sluggish or slowed down* Feeling foggy or groggy * Drowsiness* Change in sleep patternsSigns observed by teammates, parents and coaches include:* Appears dazed* Vacant facial expression* Confused about assignment * Forgets plays* Is unsure of game, score, or opponent * Moves clumsily or displays incoordination* Answers questions slowly* Slurred Speech* Shows Behavior or personality changes * Can’t recall events prior to hit * Seizures or convulsions* Any change in typical behavior or personality* Loses consciousnessPLEASE PRINT THIS PAGE FOR EASY REFERENCEFor current and up-to-date information on concussions you can go to: http://www.cdc.gov/headsup/youthsports/index.htmlParent or Guardian: Type your initials in the box to indicate that you have read and agree to the above terms.
I HAVE RECEIVED, READ AND UNDERSTAND THE INFORMATION PRESENTED IN THE ABOVE CONCUSSION RECOGNITION SECTION.
Sudden Cardiac Awareness On July 24, 2015, Senate Bill 5083, also known as the Sudden Cardiac Arrest Awareness Act, became effective. The law mandates that ALL players and parent(s)/guardians annually read and acknowledge an informed consent form relating to the nature and risk of sudden cardiac arrest prior to the use of any school facilities in the State of Washington.In order to participate in practices/games at school facilities you will need to acknowledge you and your player have reviewed the information pamphlet on sudden cardiac arrest awareness. CLICK HERE TO REVIEW SUDDEN CARDIAC ARREST INFORMATION
I HAVE RECEIVED, READ AND UNDERSTAND THE INFORMATION PRESENTED IN THE SUDDEN CARDIAC ARREST AWARENESS FLYER.