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Athletic Registration

Athletic Forms and Registration

1.Parent Name(Required.)
2.Assumption of Risk Agreement to Hold Harmless and Emergency Contract(Required.)
3.E-mail Address(Required.)
4.Home #
(must include area code, i.e. 7194711999)
If you have no home phone, just list your cell phone number here.(Required.)
5.Cell #
(must include area code, i.e. 7194711999)
6.Alt #
(must include area code, i.e. 7194711999)
7.Emergency Contact Name(Required.)
8.Emergency Contact #
(must include area code, i.e. 7194711999)(Required.)
9.Student Name(Required.)
10.Grade(Required.)
11.Gender(Required.)
12.Which sport(s) is your student planning to participate in? (Check all that apply. Please also check sports that your child MAY participate in this school year.)(Required.)
13.Please list all of your child's allergies, medications, or medical concerns below, each on separate lines. If there are none, please put N/A for not applicable.(Required.)
As the parent/legal guardian of the athlete named above, it is understood that playing or participating in any sport can be a dangerous activity involving many risks of injury. By agreeing to this, the athlete/parent hereby assumes all risks associated with participation and agree to hold CMCA/ The Vanguard School, coaches, AD, and volunteers harmless from any and all liability, actions, causes of action, debts, claims or demands of any kind and release any assumption of risk for your heirs, estate, executor, administrator, assignees and for all members of the family.

Additionally, by agreeing below, the athlete/parent/legal guardian understands, in the event they cannot be reached, this form hereby gives permission to the coaches/ staff of CMCA / The Vanguard School to hospitalize and secure proper treatment (including surgery) for the athlete. Moreover, by the parent/legal guardian and athlete reading and agreeing to this form, they are agreeing to abide by all CMCA / The Vanguard School rules and authority of the coaching staff and that the athlete has been deemed physically able, by a physician, to participate in school athletics.
14.Warning to Students and Parents(Required.)
SERIOUS, CATASTROPHIC AND PERHAPS FATAL INJURY MAY RESULT FROM ATHLETIC PARTICIPATION.

By its very nature, competitive athletics may put students in situations in which SERIOUS, CATASTROPHIC and perhaps, FATAL ACCIDENTS may occur.

Many forms of athletic competition result in violent physical contact among players, the use of equipment which may result in accidents, strenuous physical exertion, and numerous other exposures to risk of injury.

Students and parents must assess the risks involved in such participation and make their choice to participate in spite of those risks. No amount of instruction, precaution, or supervision will totally eliminate all risk of injury. Just as driving an automobile involves choice of risk; athletic participation by high school students also may be inherently dangerous. The obligation of parents and students in making this choice to participate cannot be over-stated. There have been accidents resulting in death, paraplegia, quadriplegia, and other very serious permanent physical impairment as a result of athletic competition.

By granting permission for your student to participate in athletic competition, you, the parent or guardian, acknowledge that such risk exists.

By choosing to participate, you, the student, acknowledge that such risk exists.

Students will be instructed in proper techniques to be used in athletic competition and in the proper utilization of all equipment worn or used in practice and competition. Students must adhere to that instruction and utilization and must refrain from improper uses and techniques.
As previously stated, no amount of instruction, precaution, and supervision will totally eliminate all risk of serious, catastrophic, or even fatal injury.

If any of the foregoing is not completely understood, please contact your school principal for further information.
15.Permission and Release of Liability Form(Required.)
I give permission for my child to travel to and from practices and/or games with insured carpool parents. I waive, release, and discharge from any and all claims or liabilities for personal injury, death, or damages of any kind, except that which is a result of gross negligence and/or wanton misconduct of person or persons responsible for transporting my child to and/or from his participation in any CMCA/VANGUARD sporting or activity event for the 2011-12 school year.
16.Cautionary Statements(Required.)
17.By entering your initials below and submitting this form, you are agreeing that you have read and will abide by the requirements set forth above. In addition, you understand that you must print and complete the Cautionary Statements for each sport your child may participate in for the school year as well as the physical and give them to Athletic Director, Dina Fuqua to complete Athletics Registration.(Required.)