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2022 Challenger Registration players

PLAYER INFORMATION

**Please check any areas below in which you would be willing to help**


WAIVER INFORMATION
I/We, the parent(s) or legal guardian(s) or Self of the above-named person, do hereby grant my permission for my child to participant in youth athletic programs conducted by the Tuscarawas County Challenger (TCC). I assume any and all risks and hazards incidental to conduct, the activities and the transportation to and from all activities.

I/We do further hereby release, absolve indemnity, and hold harmless, the TCC Board of Directors, Coaches, Volunteers, field owners, the leagues in which TCC is a member, sponsors, and the supervisors appointed, any and all of them.

In case of injury to my child, I/we understand that TCC does carry a secondary medical insurance to my primary medical insurance. I/We hereby waive all claims against the organizers, the sponsors, TCC, field owners, Leagues and any of the supervisors appointed over them. I/We likewise release all responsibility, of any persons transporting my child to and from any and all TCC activities.

I/We have read all of the above items and fully understand the statements. I/We will abide by the aforementioned waiver of liability and the rules and regulations as set forth by the TCC Board of Directors.

MEDICAL/EMERGENCY CONTACT INFORMATION

Complete Section 1 or Section 2

SECTION 1: To Grant Consent to Treat an Injury or Illness
I hereby give consent for the following medical car provider and local hospital to be called:

CONSENT TO TREAT
In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for (1) the administration of any treatment deemed necessary by above-named doctors, or, in the event the designated preferred practitioner is not available, by another licensed physician or dentist; and (2) the transfer if the child to any hospital reasonably accessible. This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery are obtained prior to the performance of such surgery.

SECTION 2: Refusal to consent (DO NOT COMPLETE IF YOU COMPLETED SECTION 1)

 

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