Medical release
Parent/Guardian Consent and Medical Release
Recognizing the possibility of injury or illness, and in consideration for Coach Craig Whitlock and members of Colorado Rockettes accepting my daughter as a player in the softball program and activities of Colorado Rockettes and its members (the "Programs"), I consent to my daughter participating in the Programs. Further, I hereby release, discharge, and otherwise indemnify Colorado Rockettes, its member organizations and sponsors, their employees, associated personnel, and volunteers, including the owner of fields and facilities utilized for the Programs, against any claim by or on behalf of my player daughter as a result of my daughter's participation in the Programs and/or being transported to or from the Programs. I hereby authorize the transportation of my daughter to or from the Programs.
My player daughter has received a physical examination by a licensed medical doctor and has been found physically capable of participating in the sport of softball. I have provided written notice, which is submitted in conjunction with this release and attached hereto, setting forth any specific issue, condition, or ailment, in addition to what is specified above, that my child has or that may impact my child's participation in the Programs. I give my consent to have an athletic trainer and/or licensed medical doctor or dentist provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the reasonable cost of any such assistance and/or treatment.
Season covered. This consent and release covers the 2027 Colorado Rockettes season (August 1, 2026 through July 31, 2027), including practices, games, tournaments, team travel and team lodging. It stays in effect for that season unless I revoke it in writing to Coach Craig Whitlock.
Travel and supervision. I give permission for my daughter to travel with the team to and from the Programs, including out-of-state tournaments, and to stay in team lodging, under the supervision of Coach Craig Whitlock and the adult chaperones he designates, when I am not present.
Emergency medical treatment. If my daughter is injured or becomes ill and I cannot be reached right away, I authorize Coach Craig Whitlock, or the adult chaperone he designates, to consent on my behalf to any emergency transportation, examination, X-ray, anesthesia, and medical, dental or surgical diagnosis, treatment and hospital care that a licensed physician, dentist or emergency medical provider considers necessary. I authorize those providers to share with Coach Craig Whitlock or that chaperone the medical information needed to care for my daughter.
Medication. My answer on this form about over-the-counter medication is part of this consent. My daughter may carry and use her own prescribed emergency medication, such as an inhaler or an epinephrine auto-injector.
Concussion. I understand that a player suspected of having a concussion will be removed from play and may not return to play or practice until a health care provider gives written clearance, as Colorado law requires.
Risks and release of negligence claims. I understand that softball and team travel involve risks of injury, including serious injury, and I accept those risks on behalf of my daughter and myself. The release above includes claims arising from the ordinary negligence of the persons and organizations released, to the fullest extent allowed by Colorado law (C.R.S. 13-22-107). It does not release claims for gross negligence or for willful and wanton conduct.
Authority and accuracy. I am the parent or legal guardian of the player named on this form and I have legal authority to sign it. The information I have given is true and complete, and I will tell Coach Craig Whitlock promptly if any of it changes.
Electronic signature. I agree to sign this form electronically. My typed name and drawn signature have the same legal effect as my handwritten signature on a paper form. I can print or save a copy of what I signed when I submit it.