St. Patrick’s Day Trivia Night Fundraiser
Volunteer/Coach Sign Up
New/Returning Athlete Registration
2020 State Summer Games Registration
Permission Slip and Medical Information for State Summer Games 2020
I, as the Parent/Guardian give my expressed, written consent to any and all Coaches and volunteers of KCSO Family and Friends to take my child (athlete's name above) held Friday, June 12, 2020 through Sunday, June 14, 2020 at Illinois State University Campus in Normal Illinois. The undersigned acknowledges voluntary assumption of the risk of injury, damage or loss, both known and unknown, involved with participating in this trip including transportation to and from the activity, and I/we am/are prepared to solely assume all associated with participation in this trip. Therefore, in consideration of the permission extended to my child (athlete’s name above) to participate in this trips (I/we) and (my/our) agents, representatives, assigns, heirs, and successors, hereby release, hold harmless and indemnify the KCSO Family & Friends, it’s agents representatives, officers, assigns, and successors from any and all claims, demands, actions, or causes of action, whether developed or undeveloped, known or unknown, past, present, or future, including, but now limited to, any or all damages, costs, personal injuries, including death, disabilities, direct or indirect medical expenses, pain and suffering, and attorney’s fees arising out of or in any way connected with participation in this trip.
Please list anything your athletes needs special assistance with such as: hygiene, dressing, eating, social interactions etc. that the athlete may need during the trip. Any special medical training needed for coaches will need to be conducted at least one week prior to departure. If none -indicate N/A
Please list any allergies to medications, food, enviormental or anything else pertinent?
Please list all medications to be given: name, dose and frequency as well as any specific instructions or administration. All medications are placed in an envelope labeled with the athlete’s name, date of administration, type of medication, dose and time of day it should be given. If none -indicate N/A
I acknowledge that it is my responsibility to make sure I receive the medication envelopes. I also acknowledge that if my athlete takes medicine, it needs to be handed in on or before June 10, 2020 or my athlete will not be able to attend the event. .
Typing your name here serves as online signature
Parent Guardian Phone Number
Date Format: MM slash DD slash YYYY
Emergency Contact Phone Number
Volunteer Sign Up - Availability - Please indicate the days you will be attending the state games so we can assign a volunteer job:
Volunteer Sign Up - I can help with:
Base camp help
Taking atheltes to events
Chaperone in dorm
Helping with Saturday night party