Volunteer Sport Participant Waiver Workflow

MBU Athletics Volunteer Sport Participant Waiver

VOLUNTEER PARTICIPANT INFORMATION

Name*

First Name

Last Name

Sport*

Date of Birth*

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Phone*

Emergency Contact Name*

First Name

Last Name

Phone*

Email*

PARTICIPANT INFORMATION

Coach*

First Name

Last Name

Practice Location*

Practice Times*

:

List any ongoing medical conditions

(If you do not have any medical conditions, please write N/A)

VOLUNTEER PARTICIPANT

Definition: Any individual participating in an organized practice, scrimmage, or other team activity who does not have a physical performed by the Missouri Baptist University (MBU) Medical Staff on file with the MBU Athletic Training Department for the current academic year. This individual cannot be in high school, on athletic scholarship with MBU, or a potential recruit; by no means can this individual be participating with an MBU team for the purpose of obtaining an advantage for competing at the college level.

NOTICE TO ALL PERSONS PARTICIPATING IN ATHLETIC ACTIVITIES

Many athletic activities involve substantial risks of bodily injury, property damage, and other dangers associated with participation. Dangers peculiar to such activities include, but are not limited to: hypothermia, broken bones, sprains, strains, bruises, drowning, concussion, heart attack, heat exhaustion, or even death. Each participant in such activities should realize that there are risks, hazards, and dangers inherent in such activities and in the training, preparation for, and travel to and from such activities. It is the responsibility of each participant to participate only in those activities for which they have the prerequisite skills, qualifications, preparations, and training.

WAIVER OF LIABILITY, COVENANT NOT TO SUE, ASSUMPTION OF RISK

I, the undersigned, hereby acknowledge that participation in athletic activities involves an inherent risk of physical injury. The undersigned hereby agrees that for the sole consideration of Missouri Baptist University allowing the undersigned to participate in athletic activities for which or in connection with which the University sponsored or made available any equipment, facilities, grounds, or personnel for such activities or to the undersigned while participating in any such programs or activities, the undersigned does hereby release and forever discharge Missouri Baptist University, its members officially and individually, and its officers, agents, and employees of any and all claims, demands, rights, and causes of action of whatever kind or nature, arising from any injuries, damage to property, and the consequence thereof, including death, resulting from my participation in any way connected with such athletic activities. Missouri Baptist University Athletic Training is only allowed to give basic first aid treatment and emergency care for any injury sustained during this time. I fully understand all of the above, I accept and assume all risk involved in any such activities in which I participate as part of a voluntary intercollegiate activity. I assume all medical expense responsibility for any injuries sustained in voluntary intercollegiate activity. I acknowledge this waiver is for the current year only and cannot take the place of a 1- Academic year Day Tryout Waiver or take the place of a physical for future team participation.

Volunteer Participant Name*

First Name

Last Name

Date*

MBU Head Coach Name*

First Name

Last Name

Coach Approval

Name*

First Name

Last Name

Date*

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