Bellevue College NWAC Application 2023 Step 1 of 6 16% NOTE: This application has six (6) sections and requires your detailed responses. You can always save the form and continue later using the “Save and Continue” feature. If you save the form, be sure to save the link that is sent to you. We cannot access your information until you complete all fields and click “Submit.” If you are under the age of 18, there are several sections that will require the signature of your parent or guardian.Section 1: NWAC Athletic Questionnaire & Recruiting Disclaimer Validity of Questionnaire: Please note! To misrepresent or falsify the information on the athletic questionnaire may be cause for 1. Immediate suspension; 2. Possible ban from the conference, 3. May cause team to be disqualified or forfeit wins accrued. NWAC Institution: Bellevue CollegeSport Baseball Women’s Basketball Men’s Basketball Women’s Golf Men’s Golf Women’s Soccer Men’s Soccer Softball Women’s Tennis Men’s Tennis Volleyball Year at Bellevue College* First Year Second Year Bellevue College Student/ctcLink ID Your Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Cellphone*Birthdate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are you under the age of 18? Yes No Email* Enter Email Confirm Email High School*SchoolCityStateDate of High School Graduation*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920High School Transcript*Attach a copy of your unofficial High School Transcript (this will be for Athletic Department use only.)Accepted file types: pdf, Max. file size: 5 MB.Did you attend college right after high school?* No Yes Activities Post High SchoolIf you did not attend college right after high school, please identify the dates and activities you were involved with during that time period. Click the (+) icon to add additional lines.DateActivity Attendance at other colleges*Have you attended other colleges, including community colleges, since high school? Yes No Other Colleges AttendedIf you attended other colleges, please list the college and dates (month/year) of enrollment. Click the (+) icon to add additional lines.CollegeDate (Month/Year) Transcripts*Are ALL official transcripts from all previous colleges attended on file with the Admissions Office? Yes No Athletic Participation (including Community College)Have you participated in an intercollegiate contest/event since high school?* Yes No Have you participated in an intercollegiate practice since high school?* Yes No Athletic Events*Please list any participation at all colleges you attended, including present college. Click the (+) icon to add additional lines.Beginning DateEnd DateParticipation Are you now participating on any other team?* Yes No Name of Current Team When did you last participate? Have you notified the team you are leaving? Yes No Letter of IntentHave you ever signed a letter of intent?* Yes No Signed letters of intentPlease list the sports for which you have signed letters of intent. Click the (+) icon to add additional lines.Sport for which letter was signedBeginning dateEnd dateCollege AmateurismHave you ever participated in or tried out for a professional team?* Yes No Have you ever played with, received payment from or signed a contract to play with a professional team?* Yes No Professional TeamsList the sport, organization and date signed.SportOrganizationDate signed Next Page: Section 2 – Eligibility Information for Athletes Section 2: Eligibility Information for AthletesNWAC BASIC ELIGIBILITY CRITERIA FOR ATHLETESA student-athlete shall be granted eligibility to represent a member college in an NWAC-sanctioned athletic contest provided they meet the provisions outlined below. The student-athlete shall be a high school graduate, or the class year of which they were a member shall have graduated. The student-athlete shall be enrolled in an NWAC member college within twenty (20) calendar school days from the beginning of the quarter to participate during that quarter. This provision shall apply for all terms – fall, winter, spring, and summer. Should the term involve a split session, this provision shall apply from the first day of class of the first session. The student-athlete shall not have participated in any one sport for more than two (2) seasons at any post-secondary educational institution. After a student-athlete completes two (2) seasons of participation at a NWAC member institution and transfers and competes in another intercollegiate program, he or she may not compete further at any NWAC institution. The student-athlete shall be officially enrolled in a minimum of twelve (12) quarter credit hours or the equivalent of classes as defined in the curriculum of the member college during the sport season in which they participate. Such enrollment shall be required for non-conference and post-season participation. For any student-athlete who has never participated in collegiate athletics and used college eligibility in a sport, there will be no credit requirement from the previous quarter/semester. Any student-athlete at any member institution or transferring into any member institution who has played a year in a sport, will be required to have passed ten (10) or more credits the previous term prior to being eligible their second season of participation in that sport or their first season of a different sport. Note: The ten (10) credit previous term rule would not apply to any student-athlete who participated outside of the NWAC in one sport but transfers to a NWAC institution to participate in another sport where Article III, section F. 1 would apply. To qualify for eligibility to participate in a second (2nd) season of any sport, a student-athlete must: Have earned a minimum of thirty-six (36) quarter credit hours or the equivalent, beginning with and including the first quarter (the quarter of the sport season’s official start date) of the first season of participation. (NOTE: Credits from a course repeated to raise a grade of D or higher do not count toward the 36 credit requirement. Exception: prerequisite courses that require a higher grade for advancement in an academic subject [e.g. math, English] shall be included in the cumulative credit requirement.) OR Have earned a minimum of: 36 quarter credit hours before entering fall quarter of their second year for fall quarter eligibility 48 quarter credit hours before entering winter quarter of their second year for winter quarter eligibility 60 quarter credit hours before entering spring quarter for spring quarter eligibility. For student‐athletes who enroll full‐time after fall quarter of their first year of eligibility, the total credit hours required for second year participation will be pro‐rated based on the average of 12 credits per term. (e.g. basketball player who is a first‐time college enrollee in winter quarter, not fall) Maintain a cumulative grade point average of 2.00 during any quarter of participation. The 2.00 GPA must be for all college credits attempted and earned beginning with the first academic quarter of enrollment in the first year of participation. IMPORTANT NOTE: If you are transferring to Bellevue College from another college, you must have an official transcript ON FILE at Bellevue College prior to participating. Also, an athletic tracer report from each college previously attended will need to be on file in our athletics office. Signature for Section 2: Eligibility Information for Athletes* Date of Signature for Section 2: Eligibility Information for Athletes*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If the individual signing the above release is under age 18 (or is 18 or older, but has a legal guardian), both the individual and the responsible parent or guardian must sign.Signature of Parent or Guardian for Section 2: Eligibility Information for Athletes*Entering your name below serves as your signature and that you are the parent or guardian of the athlete completing this application. Date of Signature of Parent or Guardian for Section 2: Eligibility Information for Athletes*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Next Page: Section 3 – Bellevue College Insurance Coverage / Medical Policies Section 3: Bellevue College Insurance Coverage / Medical PoliciesCOVERAGE Bellevue College student-athletes are covered by a group policy provided by the State of Washington and the Northwest Athletic Association of Community Colleges. This plan is provided at NO COST to student-athletes, managers and athletic trainers. The plan covers student-athletes participating in intercollegiate athletics, practices, games and travel to and from the athletic event under college supervision. If you or your family has medical insurance coverage, that insurance is considered the primary coverage. This means that any bills must be submitted to your insurance first, then to the athletic insurance. Bellevue College Athletics does not have the option of waiving the requirement to file with your insurance company. If you do not have other accidental injury coverage, then the sports injury insurance is your primary coverage. This insurance does not cover ordinary health care needs, for example, colds, flu, shots, etc. Unless you have full coverage under your family’s policy, you may wish to get other student insurance that is available on campus. Contact the Cashier’s Office of the college for information. There is a $500 deductible per injury. After the deductible has been met, benefits are payable for medical expenses beginning within 90 days from the injury date and incurred within a 104-week period from the date of accident, up to a maximum of $25,000. For other specifics regarding your coverage benefits, exclusions and limitations, please refer to the current sports injury insurance brochure available in the Athletics office. PROCEDURES Emergency – All local emergencies are normally handled through the Overlake Hospital Emergency Room. Non-emergency care – Head athletic trainer will evaluate all injuries when present and, when necessary, make a referral to appropriate health care provider. An Accident Claim Form must be completed and provided to the athletics office as soon as possible following your injury. The forms are available in the Athletics office. Once the form has been completed and signed by the athletics program coordinator, copies will be given to you and the claim form should then be given to each of the medical providers you have seen. Itemized medical bills are submitted electronically by the doctor’s office to the athletic injury insurance company, along with information about what your insurance company may have already paid. You will receive an Explanation of Benefits (“EOB”) statement from your insurance company which explains what your insurance has paid on the bill and the balance due, or if the claim has been denied. Representatives of the athletic injury insurance company may contact you if there are any questions or problems with the claim. If you have questions, you also may contact them at Summit America Insurance Services, PO Box 25936, Overland Park, KS 66225. Their toll free number is 1-877-246-6997, or online at http://www.summitamerica-ins.com This can be a lengthy process. From date of injury to the point where all payments have been made to your medical provider can take quite a bit of time, and for this reason, it is very important that you submit your claim as soon as possible. Consent: Insurance Coverage / Medical policies*I have read and understand the insurance coverage / medical policies of the Bellevue College Athletic Department, and agree to abide by these policies. I agree.Signature for Section 3: Bellevue College Insurance Coverage / Medical Policies* Date of Signature for Section 3: Bellevue College Insurance Coverage / Medical Policies*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If the individual signing the above release is under age 18 (or is 18 or older, but has a legal guardian), both the individual and the responsible parent or guardian must sign.Signature of Parent or Guardian for Section 3: Bellevue College Insurace Coverage / Medical Policies*Entering your name below serves as your signature and that you are the parent or guardian of the athlete completing this application. Date of Signature of Parent or Guardian for Section 3: Bellevue College Insurace Coverage / Medical Policies*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Next Page: Section 4 – Authorization to Use or Disclose Protected Health Information Section 4: Authorization to Use or Disclose Protected Health InformationBefore proceeding with this section, please download and read a copy of the AUTHORIZATION TO USE OR DISCLOSE PROTECTED HEALTH INFORMATIONConsent to disclose information to coaching and athletics staff*I hereby consent to allow the Bellevue College athletic training staff to disclose protected health information concerning any injury or athletically-related illness to my coaching staff and the athletics administration. I consent.Consent to disclose information to parents or legal guardians*I hereby consent to allow Bellevue College athletic department personnel to disclose protected health information concerning any injury or athletically related illness to my parents or legal guardians. I consent.Consent for the use and disclosure of medical records.*Unless I have listed an exception under “exceptions” below, I specifically authorize the use and disclosure of the following individually identifiable health information and/or medical records, if such information and/or record exists: Discharge summary Reports of X-rays & tests Inpatient records Face sheets Immunization records Consultations reports History & physical records Emergency room records Abstracts w/final diagnosis Outpatient records Physical Therapy notes Other: all relevant health information related to athletic injuries and illness I consent.ExceptionsI do not consent to the use and disclosure of the following individually identifiable health information and/or medical records, if such information and/or record exists. Click the (+) icon to add a line. Authorization for release of information in records*I further authorize the release of any information contained in the above records concerning: treatment of drug or alcohol abuse, drug-related conditions, alcoholism, and/or mental health treatment and/or HIV/AIDS related conditions. I authorize this release.Dates of treatment to be released*Dates of treatment to be released: From date of signature below until graduation or such time as athlete is no longer enrolled at Bellevue College, whichever comes first. I authorize the release of dates of treatment.Reason or purpose for use and disclosure of information*Reason or purpose for the use and disclosure of this information: To facilitate prompt and appropriate treatment of any injury or athletically related illness, and assure prudent participation in ongoing athletic activities. I understand.Redisclosure*I understand that the information used or disclosed pursuant to this authorization may be subject to redisclosure and no longer be protected under federal law. However, I also understand that federal or state law may restrict further redisclosure of HIV/AIDS information, mental health information, drug/alcohol diagnosis, and treatment or referral information. I understand.Refusal to Sign this Authorization* I understand that my refusal to sign this authorization will not adversely affect my ability to receive health care services. I understand that the only circumstance when refusal to sign means I will not receive health care services is if those health care services are solely for the purpose of providing my health information to someone else and the authorization is necessary to make that disclosure. I understand.Revocation*I understand that I may revoke this authorization at any time by notifying the Bellevue College Athletics Office, in writing. I further understand that if I revoke this authorization, the information described above may no longer be used or disclosed for the purposes described here. I also understand that any use or disclosure already made with my permission cannot be undone. I understand.Expiration*I understand this authorization is good until revoked in writing, or until I graduate from or otherwise am not enrolled at Bellevue College, whichever comes first. I understand.Inspection*I understand that I may inspect or request copies of any information disclosed by this authorization. I understand.This authorization is binding*A photocopy of this consent shall be deemed as effective and valid as the original. I understand.Copy provided*I downloaded and read a copy of this document, prior to signing it. I agree that I downloaded and read a copy of this document.Signature for Section 4: Authorization to Use or Disclose Protected Health Information*Entering your name below serves as your signature. Date of Signature for Section 4: Authorization to Use or Disclose Protected Health Information*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If the individual signing the above release is under age 18 (or is 18 or older, but has a legal guardian), both the individual and the responsible parent or guardian must sign.Signature of Parent or Guardian for Section 4: Authorization to Use or Disclose Protected Health Information*Entering your name below serves as your signature and that you are the parent or guardian of the athlete completing this application. Date of Signature of Parent or Guardian for Section 4: Authorization to Use or Disclose Protected Health Information*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Next Page: Section 5 – Student-Athlete Authorization for Release of Information, Photos, Videos Section 5: Student-Athlete Authorization for Release of Information, Photos, VideosPlease read the following information carefully. If you agree to the release of information, photos, etc., initial after the section, then fully complete the remainder of the form. If you have questions, you may speak with the athletic director, your coach, or the athletics program coordinator.Release of Information*As a member of a Bellevue College sports team, I grant the coaching staff at Bellevue College permission to disclose personal information of mine to my parents, four-year college coaches, and/or any staff member at a four-year academic institution involved with the review of my potential eligibility status for the purpose of promoting and encouraging the advancement of my athletic-academic career only. Information which is commonly requested by four-year college coaches may include, but is not limited to, full name, address, phone number, college academic records, high school and/or previous school academic records, SAT score, ACT score, NCAA Clearinghouse results, medical history, personal history, personal income, parental marital status, and parental income. I consent.Photo and Interview Release*I, the undersigned, consent to each and every use by Bellevue College, and all of its officers, employees of (1) each photograph, videotape or other likeness of me taken while participating in a Bellevue College-sponsored athletic event (including practices and officials games), and/or (2) comments provided in interviews and/or in writing. Such uses may include, but are not limited to, every use in a publication, newspaper, advertisement, web site, videotape presentations, television show or other publication or recording. I also waive any right to compensation for such uses, or to inspect or approve the uses beforehand. I release Bellevue College, its legal representatives and all persons acting under its permission or authority, from any liability for any blurring, distortion, alteration or optical illusion that may occur with these pictures. I consent.Signature for Section 5: Student-Athlete Authorization for Release of Information, Photos, Videos*Entering your name below serves as your signature. Date of Signature for Section 5: Student-Athlete Authorization for Release of Information, Photos, Videos*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If the individual signing the above release is under age 18 (or is 18 or older, but has a legal guardian), both the individual and the responsible parent or guardian must sign.Signature of Parent or Guardian for Section 5: Student-Athlete Authorization for Release of Information, Photos, Videos*Entering your name below serves as your signature and that you are the parent or guardian of the athlete completing this application. Date of Signature of Parent or Guardian for Section 5: Student-Athlete Authorization for Release of Information, Photos, Videos*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Next Page: Section 6 – Informed Acknowledgment of Hazards and Risks Section 6: Informed Acknowledgment of Hazards and RisksINFORMED ACKNOWLEDGEMENT OF HAZARDS AND RISKS CONNECTED WITH PARTICIPATION IN SPORTS THIS FORM MUST BE SIGNED BY THE STUDENT AND PARENT OR LEGAL GUARDIAN IF THE STUDENT IS UNDER 18 YEARS OF AGE. PLEASE READ CAREFULLY AND BE SURE YOU UNDERSTAND BEFORE YOU SIGN. The sport-specific warning and consent field will display below when you have selected your sport:W A R N I N G Participation in any athletic activity may involve injury of some type to either yourself or a fellow student athlete. Such injury can include direct physical and possibly crippling injury to one’s body. There is also the possibility of suffering emotional distress or psychological injury as a result of witnessing or actually inflicting injury to another. The severity of such injury can range from minor cuts, scrapes, bruises, muscle strains, or bone fractures and dislocations to catastrophic injury, such as complete paralysis, or even death. Such injury can impair one’s general physical and mental health and hinder one’s future ability to earn a living, to engage in other business, social, and recreational activities, and generally to enjoy life. Baseball is a competitive ball and bat team sport. As in all sports, Baseball involves the RISKS OF SERIOUS INJURY OR DEATH. Injuries in this sport are common, and occur to all parts of the body, including the head and neck, shoulders, arms, chest, hands and fingers, hips and legs, knees, and ankles and feet. These risks of injury in the sport of Baseball include the possibility of: injury to the neck and spinal column or cord, resulting in complete or partial paralysis; injury to the head, resulting in brain damage; and injury to the body’s bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system. Injury to the body’s nerves, the heart and blood vessels, and other internal or reproductive organs is also possible. Such injuries may cause temporary disability or can result in permanent impairment. Pitchers, in particular, are susceptible to shoulder and arm injuries. Fatalities in Baseball typically are caused by direct blows to the chest from a struck or pitched ball or from head and neck injuries caused by being hit with baseballs or bats or by colliding with other players. Pre-existing medical conditions, including illness, disease, and prior injuries can be aggravated or cause other injuries while engaged in the sport of Baseball. Use of drugs, alcohol, or medications can contribute to injury or illness while participating in athletic activity. Some injuries may be caused as a result of poor physical conditioning and overexertion. Such overexertion can result in injury to muscles, the heart, and other body parts, resulting in sprains and strains, cardiac or cardiopulmonary arrest, and other medical conditions. Baseball injuries can also result from the use of correct or incorrect playing techniques used in tryouts, practices, warm-ups, drills, games, plays, or other similar undertakings. Injury to the head or other parts of the body can result from contact with other participants, the playing surface, training equipment, the backstop, and other solid objects in and around the Baseball field. Injury can result from the improper fit of equipment, from defective or worn-out equipment, and from otherwise wearing and/or failing to use Baseball equipment or other protective gear. Injury can result from training room procedures; from the use of training equipment; from the administration of first aid; or from failing to follow game, training, safety or other team rules. Injury may result from the use of playing techniques taught or from teaching methods employed by the coaches of this community college. The use of transportation provided or arranged by the College to and from Baseball games and other related activities also involves a risk of injury or death. The purpose of this WARNNG is to bring your attention to the existence of potential dangers associated with athletic participation. There is, however, always the risk of other types of injuries or the risk of injury or death resulting from other causes not specified here. The purpose of this WARNING is also to aid you in making an informed decision as to whether you (or your child or ward) should participate in this athletic activity and, as a condition of such participation, sign the foregoing ACKNOWLEDGEMENT OF HAZARDS AND RISKS CONNECTED WITH PARTICIPATION IN Baseball. In addition, its purpose is to make you aware that as a student-athlete (or as a parent or guardian of a student-athlete), it is your responsibility to learn about and/or ask coaches, physicians, or other knowledgeable persons about any concerns that you might have at any time regarding athletic safety and participation in the community college’s Baseball program.Acknowledgement of Hazards & Risks Connected With Participation in Baseball*STUDENT-PARENTAL ACKNOWLEDGEMENT OF HAZARDS AND RISKS I have read the above warning, which is incorporated here by reference, and I understand that Baseball is a sport involving the RISKS OF INJURY OR DEATH. I also understand that by participating (or by permitting my child or ward to participate) in the Baseballl program at this community college, I (my child or ward) am subject to the possibility of injury or death as outlined in the WARNING above. CAUTION BY SIGNING THIS ACKNOWLEDGEMENT OF HAZARDS AND RISKS, I ACKNOWLEDGE THAT I HAVE READ ITS CONTENTS AND WARNING, THAT I UNDERSTAND ITS CONTENTS AND WARNING, AND THAT I AGREE TO ITS TERMS AND CHOOSE TO PARTICIPATE (OR TO PERMIT MY CHILD OR WARD TO PARTICIPATE) IN THE INTERSCHOLASTIC SPORTS OF BASEBALL AT THIS COMMUNITY COLLEGE. I acknowledge the hazards and risks connected with participation.W A R N I N G Participation in any athletic activity may involve injury of some type to either yourself or a fellow student athlete. Such injury can include direct physical and possibly crippling injury to one’s body. There is also the possibility of suffering emotional distress or psychological injury as a result of witnessing or actually inflicting injury to another. The severity of such injury can range from minor cuts, scrapes, bruises, muscle strains, or bone fractures and dislocations to catastrophic injury, such as complete paralysis, or even death. Such injury can impair one’s general physical and mental health and hinder one’s future ability to earn a living, to engage in other business, social, and recreational activities, and generally to enjoy life. Basketball is a competitive ball and hoop sport. As in all sports, Basketball involves the RISKS OF SERIOUS INJURY OR DEATH. Injuries in this sport are common, and occur to all parts of the body, including the head and neck, shoulders, arms, chest, hands and fingers, hips and legs, knees, and ankles and feet. These risks of injury in the sport of Basketball include the possibility of: injury to the neck and spinal column or cord, resulting in complete or partial paralysis; injury to the head, resulting in brain damage; and injury to the body’s bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system. Injury to the body’s nerves, the heart and blood vessels, and other internal or reproductive organs is also possible. Such injuries may cause temporary disability or can result in permanent impairment. Pre-existing medical conditions, including illness, disease, and prior injuries can be aggravated or cause other injuries while engaged in the sport of Basketball. Use of drugs, alcohol, or medications can contribute to injury or illness while participating in athletic activity. Some injuries may be caused as a result of poor physical conditioning and overexertion. Such overexertion can result in injury to muscles, the heart, and other body parts, resulting in sprains and strains, cardiac or cardiopulmonary arrest, and other medical conditions. Basketball injuries can also result from the use of correct or incorrect playing techniques used in tryouts, practices, warm-ups, drills, games, plays, or other similar undertakings. Injury to the head or other parts of the body can result from contact with other participants, the playing surface, training equipment and other solid objects in and around the Basketball court. Injury can result from the improper fit of equipment, from defective or worn-out equipment, and from otherwise wearing and/or failing to use Basketball equipment or other protective gear. Injury can result from training room procedures; from the use of training equipment; from the administration of first aid; or from failing to follow game, training, safety or other team rules. Injury may result from the use of playing techniques taught or from teaching methods employed by the coaches of this community college. The use of transportation provided or arranged by the College to and from Basketball games and other related activities also involves a risk of injury or death. The purpose of this WARNNG is to bring your attention to the existence of potential dangers associated with athletic participation. There is, however, always the risk of other types of injuries or the risk of injury or death resulting from other causes not specified here. The purpose of this WARNING is also to aid you in making an informed decision as to whether you (or your child or ward) should participate in this athletic activity and, as a condition of such participation, sign the foregoing ACKNOWLEDGEMENT OF HAZARDS AND RISKS CONNECTED WITH PARTICIPATION IN Basketball. In addition, its purpose is to make you aware that as a student-athlete (or as a parent or guardian of a student-athlete), it is your responsibility to learn about and/or ask coaches, physicians, or other knowledgeable persons about any concerns that you might have at any time regarding athletic safety and participation in the community college’s Basketball program. Acknowledgement of Hazards & Risks Connected With Participation in Basketball*STUDENT-PARENTAL ACKNOWLEDGEMENT OF HAZARDS AND RISKS I have read the above warning, which is incorporated here by reference, and I understand that Basketball is a sport involving the RISKS OF INJURY OR DEATH. I also understand that by participating (or by permitting my child or ward to participate) in the Basketball program at this community college, I (my child or ward) am subject to the possibility of injury or death as outlined in the WARNING above. CAUTION BY SIGNING THIS ACKNOWLEDGEMENT OF HAZARDS AND RISKS, I ACKNOWLEDGE THAT I HAVE READ ITS CONTENTS AND WARNING, THAT I UNDERSTAND ITS CONTENTS AND WARNING, AND THAT I AGREE TO ITS TERMS AND CHOOSE TO PARTICIPATE (OR TO PERMIT MY CHILD OR WARD TO PARTICIPATE) IN THE INTERSCHOLASTIC SPORTS OF BASKETBALL AT THIS COMMUNITY COLLEGE. I acknowledge the hazards and risks connected with participation.W A R N I N G Participation in any athletic activity may involve injury of some type to either yourself or a fellow student athlete. Such injury can include direct physical and possibly crippling injury to one’s body. There is also the possibility of suffering emotional distress or psychological injury as a result of witnessing or actually inflicting injury to another. The severity of such injury can range from minor cuts, scrapes, bruises, muscle strains, or bone fractures and dislocations to catastrophic injury, such as complete paralysis, or even death. Such injury can impair one’s general physical and mental health and hinder one’s future ability to earn a living, to engage in other business, social, and recreational activities, and generally to enjoy life. Golf is a competitive outdoor sport. As in all sports, Golf involves the RISKS OF SERIOUS INJURY OR DEATH. Injuries in this sport are common, and occur to all parts of the body, including the head and neck, shoulders, arms, chest, hands and fingers, hips and legs, knees, and ankles and feet. Common injuries stained as a result of participating in Golf are principally located in the lower back and in the wrist, left hand, and left shoulder (for right-handed golfers). The elbow, neck, and knees are also common sites of injury to golfers. Typical types of injuries occur during the impact of follow-through phases of the golf swing. The repetitive nature of the golf swing and contact with something other than the ball during the swing are the principle injury mechanisms. The most common cause of serious physical injury or death involves being struck by a golf club, golf ball, or lightning. Slipping or falling due to uneven terrain or wearing golf shoes on a smooth surface can result in injury. Heat stroke or heart failure may similarly result in serious injury or death. Such injuries may cause temporary disability or can result in permanent impairment. Pre-existing medical conditions, including illness, disease, and prior injuries can be aggravated or cause other injuries while engaged in the sport of Golf. Use of drugs, alcohol, or medications can contribute to injury or illness while participating in athletic activity. Some injuries may be caused as a result of poor physical conditioning and overexertion. Golf injuries can result from the use of correct or incorrect golfing techniques while playing the game or during practices or instruction. There is also the possibility of injury from training room procedures; from the use of training equipment; from the administration of first aid; or from failing to follow game, training, safety, or other team rules. Injury may result from the use of playing techniques taught and/or from teaching methods employed by the coaches of this community college. The use of transportation provided or arranged by the college to and from Golf games and other related activities also involves a risk of injury or death. The purpose of this WARNING is to bring to your attention the existence of potential dangers associated with athletic participation. There is, however, always the risk of other types of injuries or the risk of injury or death resulting from other causes not specified here. The purpose of this WARNING is also to aid you in making an informed decision as to whether you (or your child or ward) should participate in this athletic activity and, as a condition of such participation, sign the foregoing ACKNOWLEDGEMENT OF HAZARDS AND RISKS CONNECTED WITH PARTICIPATION IN GOLF. In addition, its purpose is to make you aware that as a student-athlete (or as a parent or guardian of a student-athlete), it is your responsibility to learn about and/or to ask coaches, physicians, or other knowledgeable persons about any concerns that you might have at any time regarding athletic safety and participation in this community college’s Golf Program. Acknowledgement of Hazards & Risks Connected With Participation in Golf*STUDENT-PARENTAL ACKNOWLEDGEMENT OF HAZARDS AND RISKS I have read the above warning, which is incorporated here by reference, and I understand that Golf is a sport involving the RISKS OF INJURY OR DEATH. I also understand that by participating (or by permitting my child or ward to participate) in the Golf program at this community college, I (my child or ward) am subject to the possibility of injury or death as outlined in the WARNING above. CAUTION BY SIGNING THIS ACKNOWLEDGEMENT OF HAZARDS AND RISKS, I ACKNOWLEDGE THAT I HAVE READ ITS CONTENTS AND WARNING, THAT I UNDERSTAND ITS CONTENTS AND WARNING, AND THAT I AGREE TO ITS TERMS AND CHOOSE TO PARTICIPATE (OR TO PERMIT MY CHILD OR WARD TO PARTICIPATE) IN THE INTERSCHOLASTIC SPORTS OF GOLF AT THIS COMMUNITY COLLEGE. I acknowledge the hazards and risks connected with participation.W A R N I N G Participation in any athletic activity may involve injury of some type to either yourself or a fellow student athlete. Such injury can include direct physical and possibly crippling injury to one’s body. There is also the possibility of suffering emotional distress or psychological injury as a result of witnessing or actually inflicting injury to another. The severity of such injury can range from minor cuts, scrapes, bruises, muscle strains, or bone fractures and dislocations to catastrophic injury, such as complete paralysis, or even death. Such injury can impair one’s general physical and mental health and hinder one’s future ability to earn a living, to engage in other business, social, and recreational activities, and generally to enjoy life. Soccer is a VIOLENT CONTACT sport. As in all sports, Soccer involves the RISKS OF SERIOUS INJURY OR DEATH. Because it is a sport involving contact, Soccer, more so than other contact sports, involves the risk of serious injury to virtually every part of the human anatomy. Injuries in this sport are common, and occur to all parts of the body, including the head and neck, shoulders, arms, chest, hands and fingers, hips and legs, knees, and ankles and feet. These risks of injury in the sport of Soccer include the possibility of: injury to the neck and spinal column or cord, resulting in complete or partial paralysis; injury to the head, resulting in brain damage; and injury to the body’s bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system. Injury to the body’s nerves, the heart and blood vessels, and other internal or reproductive organs is also possible. Such injuries may cause temporary disability or can result in permanent impairment. Soccer players are also susceptible to injury or death resulting from such causes as heat stroke, hear failure, asthmatic attack, sickle cell crisis, congenital brain defects, and from natural causes or other congenital problems. Pre-existing medical conditions, including illness, disease, and prior injuries can be aggravated or cause other injuries while engaged in the sport of Soccer. Use of drugs, alcohol, or medications can contribute to injury or illness while participating in athletic activity. Some injuries may be caused as a result of poor physical conditioning and overexertion. Such overexertion can result in injury to muscles, the heart, and other body parts, resulting in sprains and strains, cardiac or cardiopulmonary arrest, and other medical conditions. Soccer injuries can also result from the use of correct or incorrect playing techniques used in tryouts, practices, warm-ups, drills, games, plays, or other similar undertakings. Injury to the head or other parts of the body can result from contact with other participants, the playing surface, training equipment, the goals, and other solid objects in and around the Soccer field. Injury can result from the improper fit of equipment, from defective or worn-out equipment, and from otherwise wearing and/or failing to use Soccer equipment or other protective gear. Injury can result from training room procedures; from the use of training equipment; from the administration of first aid; or from failing to follow game, training, safety or other team rules. Injury may result from the use of playing techniques taught or from teaching methods employed by the coaches of this community college. The use of transportation provided or arranged by the College to and from Soccer games and other related activities also involves a risk of injury or death. The purpose of this WARNNG is to bring your attention to the existence of potential dangers associated with athletic participation. There is, however, always the risk of other types of injuries or the risk of injury or death resulting from other causes not specified here. The purpose of this WARNING is also to aid you in making an informed decision as to whether you (or your child or ward) should participate in this athletic activity and, as a condition of such participation, sign the foregoing ACKNOWLEDGEMENT OF HAZARDS AND RISKS CONNECTED WITH PARTICIPATION IN Soccer. In addition, its purpose is to make you aware that as a student-athlete (or as a parent or guardian of a student-athlete), it is your responsibility to learn about and/or ask coaches, physicians, or other knowledgeable persons about any concerns that you might have at any time regarding athletic safety and participation in the community college’s Soccer program. Acknowledgement of Hazards & Risks Connected With Participation in Soccer*STUDENT-PARENTAL ACKNOWLEDGEMENT OF HAZARDS AND RISKS I have read the above warning, which is incorporated here by reference, and I understand that Soccer is a sport involving the RISKS OF INJURY OR DEATH. I also understand that by participating (or by permitting my child or ward to participate) in the Soccer program at this community college, I (my child or ward) am subject to the possibility of injury or death as outlined in the WARNING above. CAUTION BY SIGNING THIS ACKNOWLEDGEMENT OF HAZARDS AND RISKS, I ACKNOWLEDGE THAT I HAVE READ ITS CONTENTS AND WARNING, THAT I UNDERSTAND ITS CONTENTS AND WARNING, AND THAT I AGREE TO ITS TERMS AND CHOOSE TO PARTICIPATE (OR TO PERMIT MY CHILD OR WARD TO PARTICIPATE) IN THE INTERSCHOLASTIC SPORTS OF SOCCER AT THIS COMMUNITY COLLEGE. I acknowledge the hazards and risks connected with participation.W A R N I N G Participation in any athletic activity may involve injury of some type to either yourself or a fellow student athlete. Such injury can include direct physical and possibly crippling injury to one’s body. There is also the possibility of suffering emotional distress or psychological injury as a result of witnessing or actually inflicting injury to another. The severity of such injury can range from minor cuts, scrapes, bruises, muscle strains, or bone fractures and dislocations to catastrophic injury, such as complete paralysis, or even death. Such injury can impair one’s general physical and mental health and hinder one’s future ability to earn a living, to engage in other business, social, and recreational activities, and generally to enjoy life. Softball is a competitive ball and bat team sport. As in all sports, Softball involves the RISKS OF SERIOUS INJURY OR DEATH. Injuries in this sport are common, and occur to all parts of the body, including the head and neck, shoulders, arms, chest, hands and fingers, hips and legs, knees, and ankles and feet. These risks of injury in the sport of Softball include the possibility of: injury to the neck and spinal column or cord, resulting in complete or partial paralysis; injury to the head, resulting in brain damage; and injury to the body’s bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system. Injury to the body’s nerves, the heart and blood vessels, and other internal or reproductive organs is also possible. Such injuries may cause temporary disability or can result in permanent impairment. Pitchers, in particular, are susceptible to shoulder and arm injuries. Fatalities in Softball typically are caused by direct blows to the chest from a struck or pitched ball or from head and neck injuries caused by being hit with Softballs or bats or by colliding with other players. Pre-existing medical conditions, including illness, disease, and prior injuries can be aggravated or cause other injuries while engaged in the sport of Softball. Use of drugs, alcohol, or medications can contribute to injury or illness while participating in athletic activity. Some injuries may be caused as a result of poor physical conditioning and overexertion. Such overexertion can result in injury to muscles, the heart, and other body parts, resulting in sprains and strains, cardiac or cardiopulmonary arrest, and other medical conditions. Softball injuries can also result from the use of correct or incorrect playing techniques used in tryouts, practices, warm-ups, drills, games, plays, or other similar undertakings. Injury to the head or other parts of the body can result from contact with other participants, the playing surface, training equipment, the backstop, and other solid objects in and around the Softball field. Injury can result from the improper fit of equipment, from defective or worn-out equipment, and from otherwise wearing and/or failing to use Softball equipment or other protective gear. Injury can result from training room procedures; from the use of training equipment; from the administration of first aid; or from failing to follow game, training, safety or other team rules. Injury may result from the use of playing techniques taught or from teaching methods employed by the coaches of this community college. The use of transportation provided or arranged by the College to and from Softball games and other related activities also involves a risk of injury or death. The purpose of this WARNNG is to bring your attention to the existence of potential dangers associated with athletic participation. There is, however, always the risk of other types of injuries or the risk of injury or death resulting from other causes not specified here. The purpose of this WARNING is also to aid you in making an informed decision as to whether you (or your child or ward) should participate in this athletic activity and, as a condition of such participation, sign the foregoing ACKNOWLEDGEMENT OF HAZARDS AND RISKS CONNECTED WITH PARTICIPATION IN Softball. In addition, its purpose is to make you aware that as a student-athlete (or as a parent or guardian of a student-athlete), it is your responsibility to learn about and/or ask coaches, physicians, or other knowledgeable persons about any concerns that you might have at any time regarding athletic safety and participation in the community college’s Softball program.Acknowledgement of Hazards & Risks Connected With Participation in Softball*STUDENT-PARENTAL ACKNOWLEDGEMENT OF HAZARDS AND RISKS I have read the above warning, which is incorporated here by reference, and I understand that Softball is a sport involving the RISKS OF INJURY OR DEATH. I also understand that by participating (or by permitting my child or ward to participate) in the Softball program at this community college, I (my child or ward) am subject to the possibility of injury or death as outlined in the WARNING above. CAUTION BY SIGNING THIS ACKNOWLEDGEMENT OF HAZARDS AND RISKS, I ACKNOWLEDGE THAT I HAVE READ ITS CONTENTS AND WARNING, THAT I UNDERSTAND ITS CONTENTS AND WARNING, AND THAT I AGREE TO ITS TERMS AND CHOOSE TO PARTICIPATE (OR TO PERMIT MY CHILD OR WARD TO PARTICIPATE) IN THE INTERSCHOLASTIC SPORTS OF SOFTBALL AT THIS COMMUNITY COLLEGE. I acknowledge the hazards and risks connected with participation.W A R N I N G Participation in any athletic activity may involve injury of some type to either yourself or a fellow student athlete. Such injury can include direct physical and possibly crippling injury to one’s body. There is also the possibility of suffering emotional distress or psychological injury as a result of witnessing or actually inflicting injury to another. The severity of such injury can range from minor cuts, scrapes, bruises, muscle strains, or bone fractures and dislocations to catastrophic injury, such as complete paralysis, or even death. Such injury can impair one’s general physical and mental health and hinder one’s future ability to earn a living, to engage in other business, social, and recreational activities, and generally to enjoy life. Tennis is a competitive net, ball and racket sport. As in all sports, Tennis involves the RISKS OF SERIOUS INJURY OR DEATH. Common injuries sustained as a result of participating in Tennis are to the arm and elbow, the ankle and feet, the shoulder and low back, the knee, the wrist and hand, the eyes and the neck. The most common Tennis injury is to the elbow – “Tennis elbow” – which is the result of repeated extension of the wrist. Injury to the shoulder generally occurs as a result of the service motion. “Tennis shoulder” is a drooped shoulder caused by stretching the large shoulder muscles and is a deformity often occurring in professional players and amateur players who have competed for many years. Eye injuries typically occur when struck by a served ball or when struck by a returned ball while rushing or playing the net. Nerve stretching in the neck can occur when performing the backhand stroke. Miscellaneous Tennis injuries may occur from striking net standards or from sliding as a result of debris on the court. Injuries in this sport are common, and occur to all parts of the body, including the head and neck, shoulders, arms, chest, hands and fingers, hips and legs, knees, and ankles and feet. These risks of injury in the sport of Tennis include the possibility of: injury to the neck and spinal column or cord, resulting in complete or partial paralysis; injury to the head, resulting in brain damage; and injury to the body’s bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system. Injury to the body’s nerves, the heart and blood vessels, and other internal or reproductive organs is also possible. Such injuries may cause temporary disability or can result in permanent impairment. Pre-existing medical conditions, including illness, disease, and prior injuries can be aggravated or cause other injuries while engaged in the sport of Tennis. Use of drugs, alcohol, or medications can contribute to injury or illness while participating in athletic activity. Some injuries may be caused as a result of poor physical conditioning and overexertion. Such overexertion can result in injury to muscles, the heart, and other body parts, resulting in sprains and strains, cardiac or cardiopulmonary arrest, and other medical conditions. Tennis injuries can also result from the use of correct or incorrect playing techniques used in tryouts, practices, warm-ups, drills, games, plays, or other similar undertakings. Injury to the head or other parts of the body can result from contact with other participants, the playing surface, training equipment, the backstop, and other solid objects in and around the Tennis court. Injury can result from the improper fit of equipment, from defective or worn-out equipment, and from otherwise wearing and/or failing to use Tennis equipment or other protective gear. Injury can result from training room procedures; from the use of training equipment; from the administration of first aid; or from failing to follow game, training, safety or other team rules. Injury may result from the use of playing techniques taught or from teaching methods employed by the coaches of this community college. The use of transportation provided or arranged by the College to and from Tennis matches and other related activities also involves a risk of injury or death. The purpose of this WARNNG is to bring your attention to the existence of potential dangers associated with athletic participation. There is, however, always the risk of other types of injuries or the risk of injury or death resulting from other causes not specified here. The purpose of this WARNING is also to aid you in making an informed decision as to whether you (or your child or ward) should participate in this athletic activity and, as a condition of such participation, sign the foregoing ACKNOWLEDGEMENT OF HAZARDS AND RISKS CONNECTED WITH PARTICIPATION IN Tennis. In addition, its purpose is to make you aware that as a student-athlete (or as a parent or guardian of a student-athlete), it is your responsibility to learn about and/or ask coaches, physicians, or other knowledgeable persons about any concerns that you might have at any time regarding athletic safety and participation in the community college’s Tennis program.Acknowledgement of Hazards & Risks Connected With Participation in Tennis*STUDENT-PARENTAL ACKNOWLEDGEMENT OF HAZARDS AND RISKS I have read the above warning, which is incorporated here by reference, and I understand that Tennis is a sport involving the RISKS OF INJURY OR DEATH. I also understand that by participating (or by permitting my child or ward to participate) in the Tennis program at this community college, I (my child or ward) am subject to the possibility of injury or death as outlined in the WARNING above. CAUTION BY SIGNING THIS ACKNOWLEDGEMENT OF HAZARDS AND RISKS, I ACKNOWLEDGE THAT I HAVE READ ITS CONTENTS AND WARNING, THAT I UNDERSTAND ITS CONTENTS AND WARNING, AND THAT I AGREE TO ITS TERMS AND CHOOSE TO PARTICIPATE (OR TO PERMIT MY CHILD OR WARD TO PARTICIPATE) IN THE INTERSCHOLASTIC SPORTS OF TENNIS AT THIS COMMUNITY COLLEGE. I acknowledge the hazards and risks connected with participation.W A R N I N G Participation in any athletic activity may involve injury of some type to either yourself or a fellow student athlete. Such injury can include direct physical and possibly crippling injury to one’s body. There is also the possibility of suffering emotional distress or psychological injury as a result of witnessing or actually inflicting injury to another. The severity of such injury can range from minor cuts, scrapes, bruises, muscle strains, or bone fractures and dislocations to catastrophic injury, such as complete paralysis, or even death. Such injury can impair one’s general physical and mental health and hinder one’s future ability to earn a living, to engage in other business, social, and recreational activities, and generally to enjoy life. Volleyball is a competitive net and power ball team sport. As in all sports, Volleyball involves the RISKS OF SERIOUS INJURY OR DEATH. Injuries in this sport are common, and are principally located in the arms, hands, legs and feet. The ankle and foot, knee, low back, shoulder, elbow wrist and fingers are examples of typical injury locations. Bruises, scrapes, strains and sprains are common types of injury. Less common but possible injuries are fractures, ligament and cartilage damage and concussions. These risks of injury in the sport of Volleyball include the possibility of: injury to the neck and spinal column or cord, resulting in complete or partial paralysis; injury to the head, resulting in brain damage; and injury to the body’s bones, joints, ligaments, muscles, tendons, and other aspects of the musculoskeletal system. Injury to the body’s nerves, the heart and blood vessels, and other internal or reproductive organs is also possible. Such injuries may cause temporary disability or can result in permanent impairment. Pre-existing medical conditions, including illness, disease, and prior injuries can be aggravated or cause other injuries while engaged in the sport of Volleyball. Use of drugs, alcohol, or medications can contribute to injury or illness while participating in athletic activity. Some injuries may be caused as a result of poor physical conditioning and overexertion. Such overexertion can result in injury to muscles, the heart, and other body parts, resulting in sprains and strains, cardiac or cardiopulmonary arrest, and other medical conditions. Volleyball injuries can also result from the use of correct or incorrect playing techniques used in tryouts, practices, warm-ups, drills, games, plays, or other similar undertakings. Injury to the head or other parts of the body can result from contact with other participants, the playing surface, training equipment and other solid objects in and around the Volleyball court. Injury can result from the improper fit of equipment, from defective or worn-out equipment, and from otherwise wearing and/or failing to use Volleyball equipment or other protective gear. Injury can result from training room procedures; from the use of training equipment; from the administration of first aid; or from failing to follow game, training, safety or other team rules. Injury may result from the use of playing techniques taught or from teaching methods employed by the coaches of this community college. The use of transportation provided or arranged by the College to and from Volleyball games and other related activities also involves a risk of injury or death. The purpose of this WARNNG is to bring your attention to the existence of potential dangers associated with athletic participation. There is, however, always the risk of other types of injuries or the risk of injury or death resulting from other causes not specified here. The purpose of this WARNING is also to aid you in making an informed decision as to whether you (or your child or ward) should participate in this athletic activity and, as a condition of such participation, sign the foregoing ACKNOWLEDGEMENT OF HAZARDS AND RISKS CONNECTED WITH PARTICIPATION IN Volleyball. In addition, its purpose is to make you aware that as a student-athlete (or as a parent or guardian of a student-athlete), it is your responsibility to learn about and/or ask coaches, physicians, or other knowledgeable persons about any concerns that you might have at any time regarding athletic safety and participation in the community college’s Volleyball program.Acknowledgement of Hazards & Risks Connected With Participation in Volleyball*STUDENT-PARENTAL ACKNOWLEDGEMENT OF HAZARDS AND RISKS I have read the above warning, which is incorporated here by reference, and I understand that Volleyball is a sport involving the RISKS OF INJURY OR DEATH. I also understand that by participating (or by permitting my child or ward to participate) in the Volleyball program at this community college, I (my child or ward) am subject to the possibility of injury or death as outlined in the WARNING above. CAUTION BY SIGNING THIS ACKNOWLEDGEMENT OF HAZARDS AND RISKS, I ACKNOWLEDGE THAT I HAVE READ ITS CONTENTS AND WARNING, THAT I UNDERSTAND ITS CONTENTS AND WARNING, AND THAT I AGREE TO ITS TERMS AND CHOOSE TO PARTICIPATE (OR TO PERMIT MY CHILD OR WARD TO PARTICIPATE) IN THE INTERSCHOLASTIC SPORTS OF VOLLEYBALL AT THIS COMMUNITY COLLEGE. I acknowledge the hazards and risks connected with participation.Signature*Entering your name below serves as your signature. Date signed*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If the individual signing this release is under age 18 (or is 18 or older, but has a legal guardian), both the individual and the responsible parent or guardian must sign.Signature of Parent or Guardian for Section 6: Informed Acknowledgment of Hazards and Risks*Entering your name below serves as your signature and that you are the parent or guardian of the athlete completing this application. Date of Signature of Parent or Guardian for Section 6: Informed Acknowledgment of Hazards and Risks.*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920You’ve reached the end of the first half of the Bellevue College NWAC Application. If you are satisfied with your entries, click “Submit.” If you need more time, use the “Save and Continue” feature. Once you have submitted your application, you will be directed to the Medical History Forms page. Last Updated June 26, 2023
