CUSD Tryout Waiver & Form

 

ASSUMPTION OF THE RISK AND LIABILITY RELEASE

I understand and acknowledge that athletic activities, by their very nature, pose the potential risk of serious injury/illness to individuals who participate in such activities. I understand and acknowledge that some of the injuries/illnesses which may result from participating in these activities include, but are not limited to, the following:

Sprains/strains

Fractured bones                                             

Unconsciousness

Concussions

Head and/or back injuries    

Paralysis

Loss of eyesight           

Communicable diseases

Death                      

I understand and acknowledge that participation in these activities is completely voluntary and as such is not required by the Cupertino Union School District. I understand that games and practices are not staffed by a medical practitioner.

I understand and acknowledge that in order for my son/daughter to participate in these activities, I agree to assume liability and responsibility for any and all potential risks which may be associated with participation in such activities.

I understand and acknowledge that all athletes must have an annual physical examination and clearance for participation by a licensed physician or nurse practitioner. I hereby certify that my son/daughter has been cleared for participation in these activities by a medical practitioner. I understand that it my responsibility to notify the District of my son/daughter’s physical limitations, if any.

I understand, acknowledge, and agree that the District, its employees, officers, agents, or volunteers shall not be liable for any injury/illness suffered by me which is incident to and/or associated with preparing for and/or participating in this activity.

 

Tryout Form

(CUSD Families Only)

Please submit a new form each time you tryout for a sport.

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Which sport are you trying out for?
If your child has a medical concern the coach should be aware of please explain.
A confirmation email will be sent to this address after the waiver is submitted
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I, the Parent/Guardian of the above named athlete, have read the Tryout Waiver and agree to the terms.
 


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