HIGH SCHOOL OFF-SEASON WORKOUT WAIVER

You will need to complete this waiver to be able to participate in any off-season workouts for any sport. 

 

By completing this waiver you assume all liability for your athlete and agree you fully understand the potential risks involved in participating in athletics. 

 

HEALTH INSURANCE IS REQUIRED TO PARTICIPATE.

 

THIS WAIVER NEEDS TO BE COMPLETED BY A PARENT/GUARDIAN NOT THE SCHOLAR.


If you have any questions please email: athleticdepartment@topamail.com

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Athlete First Name *
Athlete Last Name *
Date Of Birth *
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Grade For 2024-2025 School Year *
Gender *
ASSUMPTION OF RISKS:
Participation in "The Activity" carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains; 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions; to 3)catastrophic injuries including paralysis and death.
I have read the previous paragraph and I know, understand, and appreciate these and other risks that are inherent in "The Activity." I hereby assert that my participation is voluntary and that I knowingly assume all such risks.:
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INDEMNIFICATION AND HOLD HARMLESS:
I also agree to INDEMNIFY AND HOLD The Odyssey Family of Schools HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of involvement in "The Activity" and to reimburse them for any such expenses incurred.
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SEVERABILITY:
The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Arizona and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
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ACKNOWLEDGE OF UNDERSTANDING:

I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

In case of emergency due to serious illness or accident when I cannot be contact, I hereby authorize school personnel to obligate me for the services of a doctor, and in extreme emergency, the services of an ambulance.

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ENTER THE FOLLOWING INFORMATION FOR HEALTH INSURANCE
Policy Holders First Name:
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Policy Holders Last Name:
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Policy Holders Employer:
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Employers Phone Number:
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Insurance Company:
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Insurance Group Number:
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Insurance Policy Number:
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PARENT INFORMATION
Parent/Guardian Full Name:
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Parent/Guardian Home Address:
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Parent/Guardian Cell Phone Number:
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Parent/Guardian Email Address:
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Parent/Guardian E-Signature:
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Emergency Contact to call if parent cannot be reached (Full Name):*
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Emergency Contact Cell Phone Number:*
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