PARENTAL PERMISSION / RELEASE AND CODE OF CONDUCT AGREEMENT
Permission to Participate: I, the undersigned Parent/Legal Guardian of the child named above, hereby consent to and permit my child to fully participate in Percy Priest Ducks Youth Program, (PPDYP) & Tennessee Youth Football League (TNYFL) competitions and events for the youth sports activity checked above.
Assumption of Risk: I acknowledge and understand that there is a risk of injury involved with participating in youth sports. I understand that my child will be under the supervision and direction of volunteer coaches. I agree to follow the rules and regulations for the sport and the instruction of the coaches in order to reduce the risk of injury to my child and other athletes. However, I acknowledge and understand that neither the volunteer coaches, officials, nor Percy Priest Ducks Youth Program, can eliminate the risk of injury in sports. Injuries may and do occur. Notwithstanding, I freely, knowingly, and willingly accept and assume the risk of injury that may occur from my child’s participation. Youth sports and activities involve the use of a variety of sports equipment, physical exertion, and often involve contact with the ground, other players and other obstacles including but not limited to: fences, goal posts, field equipment, etc. Youth Sports activities are frequently played in variable weather conditions, which could include, but are not limited to, hot, humid, rainy or cold conditions. The field conditions in which your child may play will also vary as a result of these inconsistent weather conditions. These conditions may include, but are not limited to, wet, muddy or slippery terrain. Because of these conditions inherent to these sports and activities, the participant will be exposed to many risks of injury. These injuries include, but are not limited to, death, paralysis due to serious neck or back injuries, brain damage, damage to internal organs, serious injuries to bones, ligaments, tendons and/or joints. Such injuries can result not only in temporary loss of function, but also in serious impairment of future physical, psychological and social abilities. The Percy Priest Ducks Youth Program, its directors, volunteer coaches and officials will instruct players concerning the rules of the particular sport or activity, correct skill mechanics and inspect protective equipment. In the interests of safety, it is vital that athletes follow the direction of officials, the coach’s skill instructions and training, PPDYP & TNYFL rules and its affiliate team policies to decrease the possibility of serious injury. I have read the above information concerning the risks of participating in youth sports and activities. Release: I understand and assume all risks associated with any level of participation. I further agree to hold the Percy Priest Ducks Youth Program, and its administrators, directors, employees, representatives, coaches, volunteers and agents harmless in any and all liability actions, claims or additional legal action in connection with participation in any activities related to the Percy Priest Ducks Youth Program. In signing this form, I, the Parent/
Legal Guardian assume all risks inherent to the above named child’s participation in sports, including transportation to and from sports events and activities, and waive future legal action by myself, my family, heirs, estate, executor, officer and assignees against the Percy Priest Ducks Youth Program.
Parent Code of Conduct: Parents are vital to the development of young athletes. Whether sitting in the stands or helping out as a volunteer, parents must set a positive example. Parents and adults involved in youth sports should be models of good sportsmanship and lead by example on and off the playing field. Therefore, I agree to give constructive criticism during a private moment, never in front of other parents, players, officials, spectators, etc. Support the coaches and refrain from excessive “sideline coaching” from the stands, and refrain from using profanity. Abide by a doctor’s decision in all matters of players health and injuries and physical ability to play. Accept the decisions of officials on the field as being fair and called to the best ability of the officials. Parents must stay off the field and remain under control in order to set a good example for players and other spectators. Do not criticize an opposing team, its players, fans, coaches or team by words or gestures. Support the coaches, players and officials and help teach the value of commitment to the teams, sportsmanship, ethical conduct and fair play. Inappropriate behavior is cause for immediate ejection from the stands. Repeat offenses will result in being barred from future games and league sponsored activities. Concussion Policy: I understand that it is important to recognize the signs, symptoms, and behaviors of concussions, and to know how to respond properly when a potential concussion occurs. By signing this form, I acknowledge that I understand the importance of recognizing and responding to concussions and head injuries per the guidelines set by the Tennessee Youth Sports Concussion Policy. I further agree to return all equipment furnished to my child by an affiliate organization at the end of the current season.
Fitness Waiver and Medical Authorization: I, the undersigned, hereby certify that to the best of my knowledge, my child is physically fit and able to safely participate in the athletic activity for which he or she has been registered. In the event of a medical emergency concerning my child at a time when neither parent or the emergency contact can be notified, I hereby authorize Percy Priest Ducks Youth Program officials, directors, representatives or my child’s coach to obtain the necessary medical care and/or treatment for my child, including but not limited to first aid, x-ray examinations, anesthetic, medical or surgical diagnosis, treatment or hospital care, and I hereby accept sole financial responsibility for such treatment or medical care.
In signing this form, I also authorize the Percy Priest Ducks Youth Program, its affiliate organizations and assigns permission to use my minor child’s image, photograph and likeness for PPDYP & TNYFL media promotions, advertisements, marketing, internet and website usage for PPDYP & TNYFL promotional purposes.
IN ACKNOWLEDGEMENT HEREOF, I HAVE READ AND UNDERSTAND THIS COVENANT WITH FULL KNOWLEDGE OF ITS CONTENTS.
I AGREE AND CONSENT TO THE TERMS AND CONDITIONS SET FORTH HEREIN BY THE PERCY PRIEST DUCKS YOUTH PROGRAM.