Athletic Participation Contract I hereby grant my permission for my son/daughter to participate in athletic competition at Trinity Christian High School. I acknowledge that no amount of instruction, precaution, or supervision will eliminate all risks of injury. I further understand that athletic participation by high school students may be inherently dangerous. By granting permission for your student to participate in athletic competition, you, the parent or guardian, acknowledge that such risks exist. By choosing to participate, you, the student, acknowledge that such risks exist. By signing below we acknowledge and agree: Participation in interscholastic athletics is a privilege that may be withdrawn for any violations of any policies outlined in the TCHS Student Handbook. We realize and understand that there is risk of injury by participating in interscholastic activities. My son or daughter has my permission to participate in interscholastic activities. We understand that this waiver is binding for the duration of the athletic season. Fill out this form every season your student decides to play a sport. Even if a student plays two sports in one season, they only pay ONE fee, it still counts as only 1 season of play.(1) WAIVER STATEMENTParent(s)/Legal Guardian(s)/Custodian(s) agree to assume ALL financial responsibility for any expenses resulting from athletic injury. Parent(s)/Legal Guardian(s)/Custodian(s) understand that Trinity Christian HS assumes no financial responsibility in case of injury. Parent(s)/Legal Guardian(s)/Custodian(s) has current medical insurance for his/her student.Student Printed Name* First Last Grade*6th grade7th grade8th grade9th grade10th grade11th grade12th gradeStudent Signature*Date*Parent/Legal Guardian Printed Name* First Last Parent/Legal Guardian Signature*Date*Best Contact Email for Parent/Legal Guardian* Enter Email Confirm Email Best Contact Email for Student* Enter Email Confirm Email (2) Medical Authorization for Treatment of a MinorPurpose: To enable parents and legal guardians to authorize the provision of emergency treatment for their child in case they become ill or injured while under school authority, when parents or guardians cannot be reached.Name of Student* First Last Address of Student* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Emergency InformationFather/Legal Guardian Name* First Last Day Phone*Employer*Work Phone*Mother/Legal Guardian Name* First Last Day Phone*Employer*Work Phone*In case parents or legal guardians cannot be contacted, these people should be contacted:NameRelationshipPhoneNameRelationshipPhoneFamily Doctors(s)PhoneFamily Dentist(s)PhoneAny Other Medical Specialist(s)PhoneAllergiesMedicationsMedical Conditions(3) Insurance InformationPrimary Insurance Company*Phone*Policy Number*Waiver/Release Medical Release:My child has permission to participate in competitive athletics at Trinity Christian High School. If, in the opinion of a properly licensed and practicing physician or dentist, my child needs medical, surgical, or dental services, which requires my authorization or consent before the same can be supplied by the undersigned, I hereby authorize, appoint, and empower Trinity Christian High School and it’s staff to act as my agent to furnish on my behalf such oral or written authorization as may be required. In addition, I release Trinity Christian High School and it’s staff from any and all liability which might arise from giving such authorization with reasonable care; it being my desire that my child be furnished with such medical, surgical, or dental services as soon as is reasonably possible after the need arises.(4) Sport Sign-UpsChoose which sports you want to playFall Season - Sport Type Selection*ArcheryOtherNoneSelect "Archery" if only signing up for Archery this season. Select "Other" if signing up for any other sport.Fall Season Sport Selection Boys Football Boys Baseball Boys Soccer Boys Golf Boys Basketball Boys & Girls Swimming Boys & Girls Cross Country Boys & Girls Archery Girls Volleyball Girls Basketball Girls Swimming Girls Soccer Girls Golf Girls Softball Cheer Team Track & Field eSports Please select the sport(s) for the Fall SeasonWinter Season - Sport Type Selection*ArcheryOtherNoneSelect "Archery" if only signing up for Archery this season. Select "Other" if signing up for any other sport.Winter Season Sport Selection Boys Football Boys Baseball Boys Soccer Boys Golf Boys Basketball Boys & Girls Swimming Boys & Girls Cross Country Boys & Girls Archery Girls Volleyball Girls Basketball Girls Swimming Girls Soccer Girls Golf Girls Softball Cheer Team Track & Field eSports Please select the sport(s) for the Spring SeasonSpring Season - Sport Type Selection*ArcheryOtherNoneSelect "Archery" if only signing up for Archery this season. Select "Other" if signing up for any other sport.Spring Season Sport Selection Boys Football Boys Baseball Boys Soccer Boys Golf Boys Basketball Boys & Girls Swimming Boys & Girls Cross Country Boys & Girls Archery Girls Volleyball Girls Basketball Girls Swimming Girls Soccer Girls Golf Girls Softball Cheer Team Track & Field eSports Please select the sport(s) for the Spring Season(5) Payment InformationSeason of PlayI understand that payment must be received by the school office before my student can begin practices with the team. (If a student plays two sports in one season, they only pay ONE fee, it still counts as only 1 season of play.)Print Name of Parent or Legal Guardian*Signature of Parent or Legal Guardian*Total $0.00