Medical Release and Authorization

As Parent and/or Guardian of the named athlete, by signing up for this camp I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination, and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to Olentangy High School and its affiliates, including Directors, Coaches, and Team Parents, to provide the needed emergency treatment before the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of the life and limb of the named minor child, in my absence.

Below is the full verbiage for consent and acknowledgement you will check on the registration form. 

Full Informed Consent and Acknowledgement

I hereby approve my child’s participation in any activities prepared by Olentangy High School during the selected camp. In exchange for the acceptance of said child’s candidacy by  Olentangy High School, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve, and hold harmless Olentangy High School. and all its respective officers, agents, and representatives from any liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I waive all claims against Olentangy High School. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.