I, the parent or guardian, do hereby grant permission for my child to participate in sports and related activities with Grace Evangelical Church (GEC)/Crosscheck. I understand that due to the physical contact associated with this activity, there is a possibility that my child may sustain physical injury while participating. In order that my son/daughter may receive any necessary medical treatment he/she may need, I hereby authorize the coach or other supervising adults to obtain it, and hereby hold GEC/Crosscheck and its representatives harmless in the exercise of such authority. I further release GEC/Crosscheck, and its representatives from any claims for personal illness or injury that my child may sustain.

A concussion is a brain injury caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force transmitted to the head. It can range from mild to severe and can disrupt the way the brain normally works. Even though most concussions are mild, all concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed properly. Signs and symptoms of concussion may show up right after the injury or can take hours or days to fully appear. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, seek medical attention right away. For further information, see https://www.tn.gov/health/health-program-areas/fhw/vipp/tbi/tennessee-concussion.html.

I, hereby acknowledge having received education about the risk of sports related concussions as provided in the information above. I also acknowledge my responsibility to report to my coaches, parent(s)/guardian(s) any signs or symptoms of a concussion.

I agree that, if requested, I will provide a birth certificate for my child to GEC, Crosscheck, or my coach.

I further understand that GEC/Crosscheck has established rules and regulations pertaining to conduct, behavior, and activities of all participants by which my child and I must abide during participation in this activity. I further understand that my child and I will be responsible for our failure to abide by those rules and regulations.

I understand that as a participant and/or a spectator at these activities that I/my child may be included in videotapes or photographs taken during that time. Therefore, on behalf of myself and my minor, I grant the right to be photographed and/or videotaped in order to advertise and promote this league or future sporting events.