Cheeseburners FHC FALL '23 Outdoor Program[s].
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*DECLARATION OF GOOD PHYSICAL CONDITION & CONSENT TO EMERGENCY MEDICAL TREATMENT
I declare and acknowledge that (or on behalf of my minor child), to the best of my knowledge, I (or minor child) am in good physical condition and have no disease or injury that would impair my performance or result in my being injured during any Cheeseburners Field Hockey program participation. I hereby consent (or on behalf of my minor child) to emergency medical treatment, hospitalization or other medical treatment as may be necessary for the welfare of myself (or minor child) by a Certified Athletic Trainer, Physician, or other appropriate healthcare professional, and/or hospital in the event of an injury or illness during the periods of time in which they are participating in a Cheeseburners Field Hockey program. I understand and agree that all related costs are my responsibility. I acknowledge and agree to: the risk of bodily injury, including without limitation scrapes, broken bones, paralysis, dismemberment, and death; and knowingly and freely assume all such risk. This includes injury of damage sustained while and/or resulting from use of any equipment or training provided by Cheeseburners Field Hockey. I (or on behalf of my minor child) promise not to sue Cheeseburners Field Hockey, the coaches, staff, board members or volunteers of said organization with respect to any and all such assumptions of risk. I acknowledge that I have carefully read this ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY agreement, fully understand its terms, understand that I have given up substantial rights by signing it, including the right to bring a legal action or assert a claim against Cheeseburners Field Hockey or the coaches, staff, board members or volunteers of said organization, and sign it freely and voluntarily. |
*All PLAYERS, PARENTS/GUARDIANS and OTHER FAMILIY MEMBERS MUST AGREE to the following club Rules and Regulations prior to registration for each season/camp:
Parents/Guardians and other family members are welcome to watch practices/games from the sidelines/bleachers. We require that a distance be kept between you and all players/practices for your own safety and to ensure players can focus on the task ahead. It is the responsibility of the parent(s)/guardian(s) to their players and other family members prior to a practice/game about being mindful of all players’ and coaches' personal space while in their presence. You must respect each individual and his/her comfort levels with social distancing and physical contact. COVID-19 - All PLAYERS, PARENTS/GUARDIANS and FAMILY MEMBERS MUST take ownership and monitor their own health situations. Those who have come into contact with someone with COVID-19 or have been identified to self monitor, PLEASE DO NO ATTEND any club events until you have been given the all clear. All coaches, players, parents/guardians and other family members attending Cheeseburners Field Hockey events or representing the club at events:
Please note that we shall continue to adjust these rules as necessary. Cheeseburners Field Hockey and its operatives has the right, at any time, to make adjustments and decisions to best benefit the group as a whole based on local and federal guidelines and new information. |
