Edmeston Central School

Interscholastic Athletics

Informed Consent

We, the undersigned, acknowledge that we have been warned of the dangers involved with the participation in interscholastic sports. This warning was given during a Parent’s Night by the coaching staff and also by video tape.

This warning included the possibility of injuries ranging in severity from strains, sprains, fractures and dislocations to brain injuries, paralysis and even death. We also acknowledge that these injuries can occur in all physical education activities and sports including soccer, football, cross country, basketball, wrestling, skiing, swimming, cheerleading, baseball, softball, and track.

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Parents name (please PRINT) parents signature/date

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Athlete name Athlete signature/date

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Athlete name Athlete signature/date

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Athlete name Athlete signature/date

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Athlete name Athlete signature/date

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Athlete name Athlete signature/date

** ATTENTION: This form only need to be completed one time in student’s athletic career. If you have filled it out in the past just return this form left blank.