ONE FORM FOR EACH SAILOR (only one even if in more than one type of class)
Please note that you will have to complete the form and SUBMIT at the end before the information is actually sent to us. If you close the form before submitting, you will have to start over.
I, the undersigned, understand that every effort will be made to contact me and the emergency contacts listed prior to initiating care, but treatment will not be withheld if contact cannot be made, as to insure the well being of my child.
I, the undersigned, certify that I am the parent or legal guardian of the participant. I also will be responsible for any and all costs associated with such necessary medical attention and/or treatment, including but not limited to transportation required for treatment.
I agree to participate and allow my child to participate in the NLSS activities while in, on or about the premises of the North Lake Yacht Club (NLYC) or while participating in any activity sponsored by or under the auspices of the NLSS or NLYC, and hereby release NLSS and NLYC, their officers, directors, employees, agents and representatives, from liability for any personal injuries and/or property damage resulting from any accident or any event arising out of the sailing School activities that might occur to myself or to my child and family members while participating in NLSS programs.
I do hereby indemnify and hold harmless the above mentioned organizations and/or individuals, their agents and/or employees, against any and all claims, actions, causes of actions, and any and all liablity for personal injury, including injuries resulting in death to me, my child and/or other family members, or damage to my property, the propety of my child and/or other family members, or both, while I or my child and/or family members participate in this NLSS program.
I, the undersigned, certify that I am the parent or legal guardian of the participant. This authorization is valid for the 2017 season.
As a Parent and as an Athlete it is important to recognize the signs, symptoms, and behaviors of concussions. By signing this form you are stating that you understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury. This form must be on file for every sports season and every youth athletic organization the athlete is involved with and must therefore be renewed each sailing school year (every 365 days)
Please review the "Know your Concussion ABC's". There is one for the Athlete and one for the Parents. The web address is found below by each agreement. Also you can link to the PDF forms from the www.nlss.us web page Registration tab.
Here is the Information
I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian.
I understand that I must be removed from practice/play if a concussion is suspected. I understand that I must provide written clearance from an appropriate health care provider to my coach before returning to practice/play.
I understand the possible consequence of returning to practice/play too soon and that my brain needs time to heal.
I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me.
I understand that my child cannot return to practice/play until providing written clearance from an appropriate health care provider to his/her coach.
I understand the possible consequences of my child returning to practice/play too soon.