Athletic Registration Form

In the event that my child may require emergency medical treatment while participating in the Activity(ies) , I authorize the district and its agents to secure the help of a medical services provider and to incur the expenses for medical services recommended by the medical services provider, and I will provide for the payment of these expenses. I understand that Activity(ies) staff and chaperones will attempt to contact me or other emergency contact(s) listed in the district’s Student Information System (SIS) in the event my child requires medical treatment, but I acknowledge and agree that Activity(ies) staff and chaperones may proceed with securing medical treatment for my child even if I or other emergency contact(s) are not able to be reached.

Corvallis School District 509J-offered athletic and activity opportunities (herein referred to as “Activity/ies”) can provide unique and important educational opportunities for students. However, there are inherent risks to such activities, some of which cannot be eliminated due to the inherent nature of the activities. I understand that participation in athletic and activity programs is purely voluntary, that there will be no negative repercussions for choosing not to participate, and that I am allowing my child to participate out of his/her/my own free will fully aware of the attendant risks associated with the Activity(ies) .

General Risk Exposure

I understand that participation in the named Activity(ies) is voluntary and will expose my child to risks, both foreseen and unforeseen, that could cause harm to my child, his/her/their property, and harm to other persons. Examples of risks include physical injury, emotional injury, property damage, economic loss, non-economic loss, and deprivation of rights, privileges, and immunities. I have reviewed the 2020-21 Code of Conduct for Athletics and Activities, related program rules, and any additional information provided and acknowledge I understand the risks to which my child may be exposed as a result of participation in the Activity(ies).

COVID-19 Exposure

The novel coronavirus (“COVID-19”), has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. While rules, guidance, and personal discipline may reduce this risk, the risk of serious illness and death does exist. Corvallis School District 509J cannot completely mitigate the transfer of communicable diseases like COVID-19 especially when involved in Activity(ies). Participation in Activity(ies) includes possible exposure to and illness, injury, or death from infectious diseases including COVID-19.

Supervision

Furthermore, I understand and agree that during the Activity my child will be, at times, without direct supervision. I realize no amount of reasonable supervision or training can eliminate all the dangers of participation and that my child may suffer serious injury as a result of participation in events related to the identified Activity(ies). Notwithstanding this possibility, and with full knowledge and understanding of the risk of serious injury to my child as a result of participation I give my permission for my child to participate in the Activity(ies) listed above.

Travel

I give permission for my child named above to travel to and participate in the Activity(ies) listed above. Whenever possible, transportation to/from Activity(ies) events will be arranged via the district’s contracted transportation provider(s).

My child, named above, has my permission to be transported in a privately-owned car driven by a chaperone to or from any event related to the Activity(ies). I understand that any claim against Corvallis School District 509J, for all losses, damages, or harm of any kind resulting from a parent/guardian or other designated driver, arising from the operation of a motor vehicle in relation to this voluntary Activity(ies), is hereby waived.

Hold Harmless

In consideration for providing my child the opportunity to participate in the Activity(ies) and any related transportation to and from Activity(ies) events, both my child and I voluntarily agree to waive and discharge any and all claims against Corvallis School District 509J and release it from liability for any loss regardless of cause, including any exposure to or illness or injury from an infectious disease (including COVID-19), and including claims for any negligent actions of the district or its employees or agents, to the fullest extent allowed by law, for myself, my child, our estates, our heirs, our administrators, our executors, our assignees, and our successors.

I also agree to release, exonerate, discharge and Hold Harmless the district, its Board of Directors, the individual members thereof, and all officers, agents, employees, volunteers, and representatives from all liability, claims, causes of action, or demands, including attorney fees, fines, fees, or other costs (e.g. medical costs) arising out of injuries of any kind to me, my child, our property, or any exposure to or illness or injury from any infectious disease including COVID19, or losses of any kind which may result from or in connection with my child’s participation in the Activity(ies), including injuries stemming from the negligent actions of the district or its employees or agents.

I further certify and represent that I have the legal authority to waive, discharge, release, and hold harmless the released parties on behalf of myself and the above-named student.

Severability

This Agreement is intended to be as broad and inclusive as is permitted by law. If any provision or any part of any provision of this Agreement is held to be invalid or legally unenforceable for any reason, the remainder of this Agreement shall not be affected thereby and shall remain valid and fully enforceable.

Certification

I certify that I have read this document in its entirety and fully understand its contents. In exchange for the opportunity to participate in the Activity(ies), the above-named student and I freely and voluntarily assume all risks of such hazards and notwithstanding such, release the Corvallis School District 509J from all liability for any loss regardless of cause, and claims arising from the student's participation in the Activity(ies). In addition, I authorize the Activity(ies) staff to secure the service of a doctor or hospital. I will incur the expenses for necessary services in the event of accident or illness and provide for the payment of these costs.