Ralph C. Mahar Regional School
Athletics Parental Consent Form
Release from Liability and Indemnity Agreement
Medical Emergency Treatment Authorization
I/We do hereby consent to my son/daughter's voluntary participation in athletics programs sponsored by Ralph C. Mahar Regional School (hereinafter referred to as the “voluntary sports programs”). I/We release and discharge the Ralph C. Mahar Regional & School Union 73 school district, the town of Orange and its departments, officers, employees, administration, school committee, and agents from any and all claims, damages, losses, or expenses of whatever kind or nature which said minor may have or acquire arising out of or resulting from, directly or indirectly, his/her participation in the voluntary sports programs. I/We furthermore agree to defend and indemnify Ralph C. Mahar Regional School against any claim, damage, loss, or expense of whatever kind or nature that Ralph C. Mahar Regional School may have to pay that arises from said minor’s intentional, grossly negligent, or reckless acts or omissions while participating in the voluntary sports programs.
I/We understand that sports in the voluntary sports programs are inherently dangerous activities and that there are genuine and serious risks to anyone who engages in these activities. Due to the nature of sports and physical activity, I/we understand that the risks involved include, without limitation, a full range of injuries including potential catastrophic injury resulting in permanent paralysis, brain injury, or death.
I/We hereby authorize Ralph C. Mahar Regional School's employee(s) or agent(s) who is supervising said minor to act on our behalf in authorizing and consenting to emergency medical care for said minor if he/she becomes ill or is injured while participating in the voluntary sports programs. This authorization and consent may be presented to the appropriate emergency medical staff at such time as emergency medical care is required. I/We hereby release and discharge Ralph C. Mahar Regional School from any and all claims of any nature whatsoever, which may arise out of the decision to provide emergency medical care.
My signature below indicates that I/we have read this entire document and understood it completely.