Parent or Guardian Permit – Track and Field/Cross-Country
Athlete’s Name _____________________________________________________
I, _________________________, certify that the above named
participant is now under my control and in my custody and residing at the
address of ______________________, ________________,
I
hereby give my consent for the above named participant to compete in the Tulsa
Spikes Youth Running Club (“Club”), and its approved
sports practices and meets. I hereby
also give my consent for the above named athlete to go with the coach or other
representative of the Club, or any parent, on any athletic trips. I herewith grant permission for any
representative of the Club or coach of the Club (the “Rep”) to secure medical
services for the above named participant, if necessary, in the judgment of the
Rep. I hereby agree to pay for any medical services rendered to the participant
under the foregoing and indemnify and hold the Club harmless from all such
costs.
I
understand that the Club, Tulsa Public Schools, Oral Roberts University, City
of Tulsa Parks & Recreation Department, County of Tulsa Parks &
Recreation Department and all other parties assume no responsibility in case an
accident occurs. In consideration of the
above named participant being permitted to make such trips, take part in such
activities, and/or being granted the right to practice with members of the
Club, I hereby release the Club, Union Public School District, and Oral Roberts
University, City of Tulsa Parks & Recreation Department, County of Tulsa Parks
& Recreation Department, together with all persons, including parents,
assisting with any phase of such trips, activities and training sessions
(excluding paid certified carriers), from any and all liability and
responsibilities in connection with such trips, activities and training
sessions. I hereby release all of said
parties from all liability by reason of any accident or injury suffered by said
participant. I agree to indemnify and
hold all of said parties harmless form all claims
hereinafter made by, or asserted on behalf of the above named participant.
Date: ___________ Signature of Parent or Guardian: ________________________