In the event that I cannot be contacted, I hereby give my consent for the administration of any treatment deemed necessary by:
FOOTBALL, VOLLEYBALL, SOCCER, CROSS-COUNTRY, GOLF, BASKETBALL, SWIMMING, WRESTLING, BOWLING, SOFTBALL, BASEBALL, TRACK, TENNIS, WEIGHTLIFTING, CHEERLEADING, AND FENCING.
COVERAGEParents MUST submit their own family insurance claim first. The Board of Education Athletics’ coverage will then pay all other charges, which are in excess of the amount collectible from all other family insurance (maximum $2500). A student is covered while practicing for, competing in, or traveling to and from, athletic contest as a representative of a Cleveland Metropolitan K-8 and Senior High School. All events must be under the regulation and jurisdiction of the school and under the direct supervision of a full-time school employee. I release John Hay High School, and/or the State Board of Education, and the Interscholastic Athletic Office, of any and all medical, dental, and hospital expenses beyond the Interscholastic Athletic Insurance Coverage. Any and all expenses are the responsibility of the parent/guardian of the student athlete.