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St. Agatha Athletics |
Release - Please Read Carefully
I/We the parent(s) or legal guardian of the above named applicant who has
applied for participation in the athletic activities of the Diocesan Recreation
Association for the Diocese of Columbus, hereby give my/our consent and approval
to his/her participation in any and all activities of the Diocesan Recreation
Association and its affiliates for the activity specified. I/we assume all risks
and hazards incident to the conduct of such activities including any
transportation, and for any consideration of the educational instruction he/she
will receive in connection therewith. I/we hereby agree to release and absolve,
indemnify, and hold harmless, and do by this instrument release, absolve,
indemnify and hold harmless, the Diocesan Recreation Association and its
affiliates, the Diocese of Columbus, and any and all of the Catholic Churches
and Parishes and any and all supervisors, organizers, coaches, sponsors, and
officials of and from any and all liability for any injury to my/our
aforementioned child. We waive all claims of any kind against any and all of the
organizations or persons hereinabove enumerated, including any and all claims
against any person or persons transporting my/our child to or from any such
activities hereinabove names. I/we the undersigned hereby declare that I/we have
insurance protection covering injuries that may occur (including contact sports)
in these activities during the ensuring season. I/we further certify that all
information contained in this form is correct.
TO GIVE CONSENT ELECTRONICALLY PLEASE CHECK THE BOX:
My son/daughter has my approval to participate in the athletic
activity/activities checked above. I have read and agree to the above release