PARENTAL CONSENT FORM
Participant’s Name: _______________________
Date of Birth: _________________________
Name of their School: _____________________
I, the parent/guardian of the Participant named above, hereby give permission for my child to participate in the activities of TheyCare Foundation which include playing basketball. I understand that my child will be obligated to attend regularly scheduled practices and competitions as part of their involvement in the program.
I understand that my child is responsible for his/her behavior at all time, and agree not to hold TheyCare or any of its employees responsible for any expenses or damages incurred as a result of my child’s behavior.
I understand that TheyCare may take photographs and videos of my child. I hereby grant permission to TheyCare to use photographs of my child in publications, for advertisements and in other communication related to the mission of TheyCare.
I understand that it is necessary for my child to have an approved medical certificate before participating in the activities of TheyCare. I agree to inform TheyCare of any changes in my child’s medical or physical condition which develops or is discovered at any time after the date this document is signed.
I agree that in the event of injury or illness, TheyCare employees may act in my behalf and at my expense in obtaining medical treatment for my child.
I realized that the primary insurance coverage, if any injury should occur, would be my responsibility.
In an emergency. Please contact me at ______________ or _________________
Print name of the Parent _______________________ Signature ______________ Date______________________
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