VISITATION BVM PARISH CYO

PERMISSION FORM FOR CHILD’S PARTICIPATION

We (I), the parent(s) or legal guardian(s) of  ________________________________, give permission for our child to participate in the sport/activity named below, to include any and all meetings, tryouts, practices, scrimmages, games, or other related programs or events and any travel to and from such activities.

Recognizing that injury may occur in any sport/activity, and that such injury may be serious or even life threatening, we (I) hereby assume that risk in full for our child’s participation in the sport/activity, and for us individually as spectators, and with full knowledge of the risks inherent in such sports/activities, and in return for the privilege to participate or use the above facilities or fields, release and hold harmless Visitation BVM Parish and CYO, the Archbishop of Philadelphia and his successors and assigns, the Archdiocese of Philadelphia, and its priests, religious, employees, agents, administrators, other official representatives including volunteers involved in sponsoring, organizing or aiding in these activities from any and all claims, demands, causes of action, damages, liabilities, losses or expenses, whether direct or indirect, for any and all personal injury, bodily injury and/or property damage arising from participation in the sport/activity, or from us individually as spectators, or from the use of the above facilities or fields including any travel to and from such sport/activity, and as agreed herein assume full responsibility for such injury or illness.

Notwithstanding the foregoing, we (I) understand that we (I) may receive payment for medical expenses resulting from such accidental injury or illness under the Student/Athletic Accident Program for all parish, CYO, or Archdiocesan students/athletes for the sport/activity as may be described in the accident program, and we (I) understand that such payment will be the only payment we (I) will receive for any and all accidental injury or illness.

We (I) understand and agree that this agreement is for the duration of the sport/activity to include any and all meetings, tryouts, practices, scrimmages, games, or other related programs or events and any travel to and from such activities at the above facilities or fields or at any other location made available for my child’s and/or for our use and recreation.

We (I) understand and agree to abide by all rules and regulations established by the sponsoring sports or athletic or parish organization, Visitation BVM Parish CYO, pertaining to the sport/activity or the use of the facilities or fields, and agree that such rules and regulations are incorporated herein and form a part of this Agreement. We (I) have read this document completely, understand its contents and their significance, and freely and willingly sign this agreement.

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Child’s Signature                                           Date

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Sport/Activity

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Parent/Guardian’s Signature             Date