EmailMeForm
Parent/Guardian-Player Release Form
Parent / Guardian Name
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Student Name
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First
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I/We, the parent/guardian, of the below named hereby give my consent to participate in any and all activities conducted by Acadiana Home School Athletics at designated practice and game facilities which vary by sport. For example football, drum line, and cheerleading are conducted at First Assembly of God Church, soccer at Moore Park, and baseball/softball at either Youngsville Sports Complex, Fabacher Field or Plantation Park, basketball at Progressive Baptist Church or Lafayette Middle School. I/We are aware of the risks and hazards inherent with physical activity and exertion.
I/We assume all risks and hazards incidental to such participation, including transportation to and from the activities.
I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless the AHSA Organization and/or Board of Directors, First Assembly of God Church, Progressive Baptist Church, Lafayette Middle School, Plantation Park, Youngsville Sports Complex, Fabacher Field, Moore Park/LYSA and/or the practice or game facility owners, organization, the organizers, sponsors, supervisors, volunteers, and participants for any claim arising out of an injury to myself and/or my child. This includes any injury or death that may result while transporting myself/my child to and from activities, whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident or liability insurance. As in exposure to any individual or group physical activity there is an inherent risk of injury. Risks of participation in these events are minimal. However, injury can occur and clude but are not limited to: abrasions, contusions, lacerations, sprains, strains, fractures, head trauma, heat stroke, myocardial infarct, and sudden death. In general, the inherent risk is less than or equal to what an athlete is exposed to while participating in most sponsored sporting supervised events.
I/We, the parent/guardian consent to the use of video and photographic imaging of AHSA activities in while I/my child participates. I/We, the parent/guardian understand that some AHSA activities may include video and/or photographic recordings. The images are to be under the
exclusive ownership of AHSA and are used only for educational and marketing purposes as they relate to AHSA. I/We, the parent/guardian understand that there is no compensation for the generated images.
I have been given an opportunity to have any questions answered to my satisfaction. I have read and understand the above.
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