Athletic Policy
Please complete the information below.
I/We acknowledge that the participant knows and appreciates the risks and dangers involved in all interscholastic athletics and is assuming al risks, injury, and damage incident to his/her participation in these events: Further, in consideration of the permission granted to the participant to participate in all interscholastic athletic events and the insurance under the insurance provisions hereinafter designated. I/We do hereby release, discharge and relinquish Linton-Stockton School Corporation, its employees and administration of and from all claims, demands, actions and causes of any sort of injury sustained by the participant while participating in athletics.
Does he/she have adequate medical insurance coverage? *
Name of Company
Your answer
Policy Number
Your answer
In my absence, I hereby give permission to the coaching staff, athletic director, principal, or other school staff officials to seek medical treatment for my child in the event of an accident or sport injury. Parent Electronic Signature: *
Your answer
I addition, I/We have read and understand the policies contained in the Linton-Stockton Athletic Handbook. Student Electronic Signature: *
Your answer
Date *
MM
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DD
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YYYY
Address *
Your answer
Phone # *
Your answer
Student's Grade *
Your answer
Parent or Guardian's Electronic Signature *
Your answer
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