Stetson Middle School Winter Sports & Activities Participation Waiver Form- 2021
Please submit and sign this form prior to the start of the Sports & Activities Season. Parents/Guardians are responsible for assessing their son/daughter within 2 hours of a scheduled practice for symptoms of COVID-19. To view the WCASD Return To Play Guidelines please click here:
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First Name-Student Athlete
Last Name-Student Athlete
Name of Parent/Guardian
Please Review: Return to Sports Informational Presentation for Players, Parents, & Coaches:
Watch for symptoms: People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:· Fever(100.4+) or chills, Cough, Shortness of breath or difficulty breathing, Fatigue, Muscle or body aches, Headache· New loss of taste or smell, Sore throat, Congestion or runny nose, Nausea or vomiting and Diarrhea.
Within the past 14 days have you had close contact with someone who is currently sick with suspected or confirmed COVID-19? (Note: Close contact is defined as within 6ft for more than 10 consecutive minutes, without PPE equipment.)
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If you have answerd yes to the above question, please provide further information below.
I hereby state that I have answered all the above questions honestly and to the best of my ability. I have viewed the above COVID -19 Education Presentation for players, parents, and coaches. I understand that if my son/daughter exhibits any of the above symptoms of COVID-19, I will not be able to practice, compete, or be allowed on school grounds until futher notice from the school. I understand that participating in athletic programs, events, and activities may include a possible exposure to a communicable disease including but not limited to MRSA, influenza, and COVID-19. While particular recommendations and personal discipline may reduce the risk, the risk of serious illness and death does exist. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of others, and assume full responsibility for my participation. I willingly agree to comply with the stated recommendations put forth by the WCASD to limit the exposure and spread of COVID-19 and other communicable diseases. Please place your Intials (Parent/Guardian and Student Athlete) below to certify your response.
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