Hold Harmless Agreement / Permission for Youth Participation

Last Updated: 7/24/2018 6:41 PM

Hold Harmless Agreement and/or Parent/Guardian permission for youth participation (required for all ages):  In the event of an emergency I grant permission for emergency medical treatment to be given and I agree to pay all medical bills not covered by the insurance company listed below.  I release the Hockinson School District from responsibility for any bills resulting from injuries incurred in these programs.  

I also give my permission for my child to be photographed and for such photographs to be released for publicity purposes.  While no sports physical is required for my child to participate, I understand that my child should be in good physical condition appropriate to the activity, and that a current physical exam is strongly recommended.  I have listed information regarding allergies or other medical conditions about my child of which staff should be aware.