Coed Youth Futsal League

Student Participation Agreement

I understand that the best way to make sure that I remain safe and avoid injury is to follow the rules, regulations and instructions provided to me. I agree that I will learn and obey all the rules and regulations and will follow all instruction of the staff of this CCC sponsored activity. 

Parent/Guardian Agreement

I agree to allow my child/ward to participate in the CCC sponsored activity and affirm that my child’s/ward’s participation is completely voluntary. I understand that there are risks inherent in the activities my child will engage in while participating in the activity (some of which are described below) that may cause serious injury or even death. I also understand that, despite safety precautions, Central Community College cannot guarantee that my child/ward will not be injured. My child/ward and I are willing to assume these risks. To minimize the risk, I have instructed my child/ward to obey all the rules, regulations and instructions associated with the activity. 

I affirm that my child/ward’s participation in the activity is entirely voluntary, and understand that participation in this activity entails a risk of injury due to certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries, such as, but not limited to, the following: contact with other individuals engaged in the activity; contact with the floor, walls, or other obstacles utilized for the activity; and strenuous exertions, quick movements which place stress on the cardiovascular, muscular, and skeletal systems. The specific risks vary from (1) minor injuries such as scratches, bruises and sprains, to (2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions, to (3) catastrophic injuries including paralysis and death. I understand that if I have questions about possible hazards, it is my responsibility to seek additional information from the CCC staff prior to signing this Form. I also understand that, despite safety precautions, Central Community College cannot guarantee that my child/ward will not be injured. I agree to assume these risks. 

Assumption of Risk, Waiver of Liability, Release and Agreement Not to Sue

In consideration for permitting my child/ward to participate in the CCC sponsored activity, I voluntarily agree, for myself, my heirs, executors, and administrators, to the following: 

To Assume Full Responsibility for Any Risks or Loss, or Personal Injury, Including Death

that may be sustained by my child/ward, or any loss or damage to property owned by me/my child/ward, as a result of training for, participating in, or traveling to or from the CCC sponsored activity. 

To Release, Waive, Hold Harmless, Discharge and Agree Not to Sue

the person or entity responsible for administering the CCC sponsored activity, the activity director, his/her assistants, Central Community College, or its Board of Governors, officers, employees, agents, students, and staff from any and all liability, claims, actions, demands, expenses, attorneys fees, breach of contract actions, breach of statutory duty, or other duty of care, warranty, strict liability actions, and causes of action whatsoever, that I might now have or may acquire in the future, arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in the CCC sponsored activity. 

Permission to Transport

My child/ward is eligible to participate in activities requiring transportation to a location away from the Central Community College campus. Central Community College will arrange this group transportation. Off-campus activities will take place under the guidance and supervision of Central Community College staff. 

Emergency Medical Treatment

I grant permission to the activity director, assistants, of the CCC sponsored activity to act on my behalf for said minor in granting permission for evaluation/treatment of minor medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give my consent to such medical treatment as deemed necessary by a licensed physician. I understand that any medical costs associated with the treatment will be my responsibility and my personal insurance is provided. 

Refunds will be issued if 7 days or more prior to start of the sports camp; less than 7 days will not constitute a refund.

Medical issues/death in family will fully be refunded. However, if this is a medical issue, we will need a doctor’s note faxed or emailed to us.