I, the undersigned parent/legal guardian of (STUDENT LISTED BELOW), authorize said child’s full participation in the Presbyterian Christian School (PCS) athletic program. It is my understanding that participation in the activities that make up the PCS athletic program are not without some inherent risk of injury. In addition, I/We have read, understand, and pledge to support and abide by all policies, procedures, and guidelines set forth in the PCS Athletic Handbook.

As such, in consideration of my child’s participation in the PCS athletic program, I hereby release, waive, discharge and covenant not to sue Presbyterian Christian School, the Athletic Department, Athletic Trainer, oremployees from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage or injury, including death, that may be sustained by my child, whether caused by the negligence of the releases, or otherwise while participating in such activity, or while in, on, or upon thepremises where the activity is being conducted.

I also agree to follow all instructions and procedures in order to maintain a maximum level of safety.Presbyterian Christian School requires all student-athletes to be covered under a family primary care/major medical health insurance policy in order to participate in any practices or games. There is no supplemental insurance available to cover accidents to student-athletes.

I also give my permission for any emergency medical care or treatment by a physician, surgeon, hospital ormedical care facility that may be required including transportation and accept responsibility for the cost.