Assumption Of Risk Form printable pdf download

ATTENTION CYO ATHLETES AND PARENTS/GUARDIANS

ATHLETE'S NAME:_________________________GRADE:_____SPORT:_________________________

ADDRESS:____________________________________CITY:______________________ZIP:___________

ASSUMPTION OF RISK -- PROOF OF INSURANCE:

The coaching staff is concerned with your safety and wants you to receive the benefits of athletic

participation.

I______________________________(signature) Student athlete have read the above and agree that I

have been warned as to injury and accept the responsibility of possible injury.

_______________________(Date)

I hereby consent to participation by my child, ___________________________________, in the sport

described above. In consideration of my child being allowed to participate in this sport, I hereby agree on

behalf of myself and my child, to release _______________________ School and/or Parish, the Catholic

Youth Organization (CYO), the Roman Catholic (Arch)diocese of Detroit, and any and all affiliated

organizations, their employees, agents and representatives

, from any and all claims, including

(Releasees)

negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to

my child’s participation in the sport. In the event this release on behalf of myself and/or my child is held to

be invalid or unenforceable, I hereby agree to indemnify and hold harmless Releasees from any and all

claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising

from or relating to my child’s participation in the sport. This release of indemnification does not apply to

claims for intentional misconduct or gross negligence; nor does this release of indemnification apply to the

extent of commercial insurance coverage for any claim, but this Release of Indemnification shall apply to

the extent of any self-insurance or deductible applicable to any claim.

I am the parent or legal guardian of the above named student and have read the above and recognize the

risk in participation and injury. (Signature below)

The student is covered by an insurance policy in effect for the school year:

_______________________________

____________________________ ________________

Parent/Legal Guardian

Date

_______________________________

_________________________

Name of Insurance Company

Policy or group number

(Contact Athletic Director ASAP if no policy exists)

EXPECTATIONS IN EDUCATIONAL ATHLETICS

The administration and staff of our parish/school, all CYO parishes/schools and the CYO Athletic

Department wish to make it clear that CYO sports are an educational activity. Athletes, parents and friends

must be aware of our school's expectations with regard to sportsmanship.

Unlike professional sports, as a spectator at an athletic event, you are a part of the activity, much like the

athletes, coaches and officials. As a participant, (spectator or team member) we expect that you will

maintain good sportsmanship or refrain from attending CYO athletic events.



It is expected that as participants and spectators, we will support in a positive way our own team

remembering that the athletes, coaches and officials are not perfect and will make mistakes. Negative,

derogatory cheers or actions aimed at either team are not acceptable in educational athletics.



It is expected that you will accept the decisions of the officials without vocalizing disagreement. Officials

are an important part of this educational activity. We are sending the wrong message when we challenge or

abuse the game official sent to the game to administer these educational activities.



At all times it is expected that we will respect one another; adults and students alike. This especially

includes our opponents and officials, without whose involvement, sport contests would not occur.

Signature of Student Athlete and Parents/Guardians that they have read and understand the above.

________________________

____________________________ ________________________

Student-Athlete

Parent/Guardian

This form is to be kept on file at the Parish/School. A new form must be filed each school year. The form

must be submitted to by the parents/guardian to the Athletic Director/Coach before the start of the season.

Assumption Of Risk Form

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