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Acknowledgement and Assumption of Risk

Re: Participation in Athletics/Sports

(STUDENTS UNDER 18 YEARS)

During the course of the 2012-13 school year, your child will be participating in various sporting programs as selected below. Sporting activities such as those listed below involve certain elements of risk. Injuries may occur while participating in these activities.

In consideration of St. Andrew’s College permitting:
Name of Participant: Alireza Aboodzadeh (the “Child”) Grade: 11

To participate in the following: Alpine Skiing, Archery, Badminton, Baseball, Basketball, Cross Country Running, Cricket, Fencing, Flag Football, Football, Golf, Ice Hockey, Lacrosse, Nordic Skiing, Rock Climbing, Rugby, Snow Boarding, Soccer, Softball, Squash, Swimming, Table Tennis, Tennis, Track & Field, Triathlon, Ultimate, Volleyball, Water Polo, and Weight Training (Hereinafter called the “Sport(s)”).

I understand that during my son’s participation in sports, he may be exposed to situations where the stresses and hazards are greater or different, and potentially more dangerous than those he normally encounters.

Inherent risks related to participating in these sports include but are not limited to: • General athletic injuries • Concussion and/or Head injuries • Spinal injuries • Sunstroke, sunburn, dehydration • Broken bones • Lacerations • Physical trauma • Dental injuries • Joint and soft tissue injuries • Eye injuries • Repetitive Strain injuries • Death

The risk of sustaining these types of injuries result from the nature of the activity and can occur without any fault of the student, St. Andrew’s College, its employees/agents or the facility where the activity is taking place. By choosing to take part in any activity above, you are accepting that you/your child may be injured.

1) I certify that my son is fully capable of participating in such sports. He is in good health and physically fit

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