I, the undersigned parent or legal guardian, hereby release and hold harmless Sumner-Fredericksburg High School, its administrators, employees, coaches, agents, and volunteers from any and all liability for injuries, illnesses, or other damages that may result from my child’s participation in this clinic, whether occurring on or off school premises.

I certify that my child has been evaluated by a licensed medical professional and is in good physical health, with no conditions or restrictions that would preclude full participation in clinic activities.

In the event of a medical emergency and if I am unable to be contacted, I authorize the clinic staff and directors to act on my behalf in securing medical treatment for my child. I further authorize any qualified medical personnel to render such care as deemed necessary under the circumstances.

I acknowledge and understand that Sumner-Fredericksburg Community Schools does not provide health or accident insurance for participants. I accept full financial responsibility for any medical expenses incurred as a result of participation in this clinic.