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Voluntary Sports/Athletic Event Informed Consent and Liability Release

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VOLUNTARY SPORTS/ATHLETIC EVENT OR ACTIVITY
INFORMED CONSENT AND LIABILITY RELEASE
ACKNOWLEDGMENT AND ASSUMPTION OF POTENTIAL RISK

M   F

Sex

Student name

Birth date

Parent or legal guardian (Please print)

Student address

Dance, Vocal Music, Instrumental Music, Theater, and/or Stagecraft

School

Sport/Activity (Check one or more)

Coach/Instructor (Circle one or more)

I authorize my son/daughter, named above, to participate in the indicated sport/athletic event or activity. I understand and acknowledge that sport/athletic activities, by their very nature, pose the potential risk of serious injury and/or illness to the individuals who participate in such sport/athletic events or activities.

This sport/athletic event or activity, by its very nature, poses some inherent risk of a participant being seriously injured. These injuries could include, but are not limited to, the following:

  1. Sprains and strains
  2. Fractured bones
  3. Lacerations, abrasions, and avulsions
  4. Unconsciousness
  5. Paralysis
  6. Disfigurement
  7. Head injuries
  8. Loss of eyesight
  9. Death

I understand and acknowledge that participation in sport/athletic events or activities is completely elective and voluntary and as such is not required by the District for completion of graduation requirements. I also understand that, if I do not consent to my son’s/daughter’s participation in the sport/athletic event or activity, he/she will be offered an alternative course of study, in which he/she may work for graduation credit.

I understand that all participants are to abide by and accept all rules and requirements governing conduct and safety in the sport/athletic event or activity. To the extent permitted by the Education Code, any participant determined to be in violation of behavior standards may be removed from this sport/athletic event or activity.

I understand and acknowledge that in order to participate in these activities, I and my son/daughter agree to assume liability and responsibility for any and all potential risks that may be associated with participation in sport/athletic events or activities.

I agree to, and do hereby release and hold the District and its officers, agents, employees and/or volunteers harmless for any and all claims; demands; causes of action; liability; damages; expenses; or loss of any sort, including bodily injury or death; because of or arising out of acts or omissions with respect to the sport/athletic event or activity.

I acknowledge that I have carefully read this “Voluntary Sports/Athletic Event or Activity, Informed Consent and Liability release, Acknowledgment and Assumption of Potential Risk” form and that I understand and agree to its terms.

Signature (Student)

Date

Signature (Parent or legal guardian)

Date

Home telephone

Work telephone

Mobile telephone or pager

Santa Susana High School
Concussion Information Sheet

SFA 5210, Approved 10/20/2015

A concussion is a brain injury and all brain injuries are serious. They are 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. They 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. In other words, even a “ding” or a bump on the head can be serious. You cannot see a concussion and most sports concussions occur without loss of consciousness. 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.

Symptoms may include one or more of the following:

  • Headaches
  • “Pressure in head”
  • Nausea or vomiting
  • Neck pain
  • Balance problems or dizziness
  • Blurred, double, or fuzzy vision
  • Sensitivity to light or noise
  • Feeling sluggish or slowed down
  • Feeling foggy or groggy
  • Drowsiness
  • Change in sleep patterns
  • Amnesia
  • “Don’t feel right”
  • Fatigue or low energy
  • Sadness
  • Nervousness or anxiety
  • Irritability
  • More emotional
  • Confusion
  • Concentration or memory problems (forgetting game plays)
  • Repeating the same question/comment

Signs observed by teammates, parents and coaches include:

  • Appears dazed
  • Vacant facial expression
  • Confused about assignment
  • Forgets plays
  • Is unsure of game, score, or opponent
  • Moves clumsily or displays incoordination
  • Answers questions slowly
  • Slurred speech
  • Shows behavior or personality changes
  • Can’t recall events prior to hit
  • Can’t recall events after hit
  • Seizures or convulsions
  • Any change in typical behavior or personality
  • Loses consciousness

SFA 5210, Approved 10/20/2015

Concussion Information Sheet Page 2

Adapted from the Center for Disease Control and Prevention and the CIF

What can happen if my child keeps on playing/ performing with a concussion or returns to soon?

Athletes with the signs and symptoms of concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to greater injury. There is an increased risk of significant damage from a concussion for a period of time after that concussion occurs, particularly if the athlete suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (second impact syndrome) with devastating and even fatal consequences. It is well known that adolescent or teenage athletes will often under report symptoms of injuries. And concussions are no different. As a result, education of administrators, coaches, parents and students is the key for student-athlete’s safety.

If you think your child has suffered a concussion

Any athlete even suspected of suffering a concussion should be removed from the game or practice immediately. No athlete may return to activity after an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear, without medical clearance. Close observation of the athlete should continue for several hours. California Education Code section 49475 and CIF Bylaw 313 now require implementation of long and well-established return to play concussion guidelines that have been recommended for several years.

You should also inform your child’s coach if you think that your child may have a concussion. Remember it is better to miss one game than miss the whole season. And when in doubt, the athlete sits out.

Return to Play/ Perform (RTP)

Concussion symptoms should be completely gone before returning to full practice or competition. A RTP progression involves a gradual, step-wise increase in physical effort, sports-specific activities and the risk for contact. If symptoms occur with activity, the progression should be stopped. If there are no symptoms the next day, exercise can be restarted at the previous stage.

RTP after concussion should occur only with medical clearance from a medical doctor trained in the evaluation and management of concussions, and a step-wise progression program monitored by an athletic trainer, coach, or other identified school administrator. Please see cifstate.org for a graduated return to play plan. Return to play (i.e., full practice and competition) must be no sooner than 7 days after the concussion diagnosis has been made by a physician.

For current and up-to-date information on concussions you can go to:
http://www.cdc.gov/ConcussionInYouthSports/

Student-athlete/ Performer Name Printed

Student-athlete/ Performer Signature

Date

Parent or Legal Guardian Printed

Parent or Legal Guardian Signature

Date

Legal References:

California Education Code section 49475,
California Interscholastic Federation Bylaw 313

Adapted from the Center for Disease Control and Prevention and the CIF

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What the Voluntary Sports/Athletic Event Informed Consent and Liability Release Is

The Voluntary Sports/Athletic Event Informed Consent and Liability Release is a participant-facing legal form that documents awareness of risks, voluntary participation, and allocation of liability for a specific athletic activity or event. It typically identifies the organizer, describes the activity and hazards, notes any medical or emergency instructions, and includes an acknowledgment of risk plus a release of claims. Where minors participate, the form also requires parent or guardian authorization. Proper execution and retention help organizers demonstrate informed consent and manage exposure to claims.

Why this Release Matters for Organizers and Participants

A clear, signed consent and release documents participant understanding of risks and the voluntary nature of attendance, which supports risk management, insurance review, and defense against claims. It also records emergency contacts and any medical conditions relevant to on-site care.

Why this Release Matters for Organizers and Participants

Typical Parties Who Use This Form

Organizations and individuals involved in running athletic activities rely on this release to document consent and limit liability exposure.

  • Youth sports leagues and club administrators responsible for event safety and roster management.
  • School athletic departments that need signed permission slips and medical information for students.
  • Event promoters and recreational centers arranging one-off tournaments or open-play sessions.

Use varies by setting: for minors you must collect parental consent; for adults ensure the signer is competent and authorized to waive claims where allowed by law.

Core Elements to Include in a Professional Release

A complete document combines identification, risk disclosure, signature blocks, and logistics so it is enforceable and useful if incidents occur.

Participant Details

Full legal name, date of birth, emergency contact, and any relevant medical conditions or allergies to guide on-site care and medical decision-making.

Activity Description

Clear description of the event, location, dates, and anticipated hazards so the scope of consent and assumed risks is unambiguous.

Assumption of Risk

Explicit language stating participant understands and voluntarily accepts inherent risks of the sport or activity, including collisions, falls, or heat illness.

Liability Release

A limited release and waiver naming the organizer and related parties; state law differences may affect enforceability and permissible scope.

Medical Authorization

Consent to emergency medical treatment when necessary and release of organizer liability for actions taken in an emergency; specify any insurance information.

Signature Blocks

Signature, printed name, date, and relationship (if signer is a parent/guardian). For minors include parent/guardian signature and contact details.

Step-by-Step: How to Complete and Collect the Release

Follow these sequential steps to gather valid, usable releases before an athletic event begins.

  • 01
    Prepare Form: Customize activity details and emergency instructions.
  • 02
    Distribute: Send to participants or guardians with clear return instructions.
  • 03
    Authenticate: Confirm signer identity and collect parent/guardian consent for minors.
  • 04
    Store: Save signed copies in secure records for the recommended retention period.

Configuring an Online Signing Workflow

Set authentication, required fields, and routing to ensure completed releases are legally defensible and easy to retrieve.

Field Configuration
Authentication Email link or SMS code; consider stronger ID for high-risk events.
Required Fields Mark name, DOB, emergency contact, and signature as required.
Parent Consent Conditional field shown when DOB indicates minor under chosen age.
Routing Send completed copy to organizer, participant, and archived storage.

Where Signed Releases Go and Who Sees Them

Understand the typical routing so signed releases are available for operations and incident response.

  • Participant Copy: Participant or guardian receives a PDF copy for their records.
  • Organizer Archive: Organizer gets a certified copy with audit trail for disputes.
  • Medical Staff Access: Event medical staff may be granted access to medical info when necessary.
  • Insurance Review: Insurer copies can be provided on request for claims.

Digital Signing and Platform Considerations

Choose a platform that supports secure authentication, audit trails, and appropriate integrations for your workflow.

  • Authentication Options: Email, SMS, or multi-factor authentication.
  • Audit Trail: Capture timestamps, IP, and actions.
  • Integrations: Connect to roster or CRM systems.

Ensure the platform can export signed PDFs and maintain records in compliance with retention policies and any applicable privacy laws.

Timing and Deadlines to Collect Releases

Collect completed releases with enough lead time to verify consent and follow-up on incomplete or missing forms.

Before First Activity:

Obtain release before participant joins any on-field activity.

Seasonal Roster Deadline:

Collect releases by roster submission date for organized leagues.

Event Day Cutoff:

Set a final collection time to avoid late signers during check-in.

Minor Authorization:

Allow extra time to verify parental identity for minors.

Record Retention Start:

Retention period begins on the signed date.

Common Mistakes to Avoid When Preparing Releases

  • Collecting unsigned or partially completed forms that omit emergency contact or medical information, which weakens responsiveness during incidents.
  • Failing to require parental or guardian signature for minors, which may render the release unenforceable in many jurisdictions.
  • Using overly broad waiver language that some states may treat as against public policy, potentially voiding key provisions.
  • Not retaining an auditable copy with a timestamp and signer attribution, making it difficult to verify when and who signed.

Legal and Operational Risks of an Incorrect Release

Invalid Consent: May allow claims to proceed.
Insurance Denial: Carrier may dispute coverage.
Regulatory Exposure: Privacy or safety violations risk fines.
Reputational Harm: Public incidents can damage trust.
Enforceability Issues: Overbroad waivers may be struck down.
Minor Authorization: Missing guardian signature invalidates waiver.

Handling Sensitive Information Securely

PHI Handling: Use HIPAA-compliant processes and a signed BAA when needed
Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Access Controls: Role-based access and strong passwords
Audit Trail: Capture timestamps, IP, and signer actions
Data Minimization: Collect only necessary medical details
Retention Policy: Apply record retention and secure deletion

eSignature Vendor Comparison for Event Releases

Basic vendor differences include starting price, trial availability, bulk-send capability, audit trail presence, and HIPAA support; signNow is listed first per vendor comparison norms.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day trial Varies Varies Varies Varies
Bulk Send Yes (Premium plan) Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Common Questions About Using This Release

Answers to frequent questions about minors, e-signing, witness requirements, and recordkeeping for Voluntary Sports/Athletic Event releases.


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