[go: up one dir, main page]
Scribd
Upload
53 views1 page

Tryout Waiver

Samantha Neal is signing a waiver to participate in try-outs for the Bryant University Rowing team for up to 14 days. She confirms her medical examination, lack of injuries, and understanding of the associated risks, while also acknowledging her responsibility for any medical costs incurred during the try-out. The waiver includes a release of liability for Bryant University and outlines the steps to take if she is added to the team.

Uploaded by

samanthaneal214
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
53 views1 page

Tryout Waiver

Samantha Neal is signing a waiver to participate in try-outs for the Bryant University Rowing team for up to 14 days. She confirms her medical examination, lack of injuries, and understanding of the associated risks, while also acknowledging her responsibility for any medical costs incurred during the try-out. The waiver includes a release of liability for Bryant University and outlines the steps to take if she is added to the team.

Uploaded by

samanthaneal214
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Bryant University

ATHLETIC TRY-OUT WAIVER

Name: Samantha Neal


Student ID No. 001106481
Date:
9/19124021
Date of Birth: 14/2006
NCAA ID: 2409404609

By signing this waiver I recognize that it will allow me to participate for up to 14 calendar days,
beginning and ending .
However the following requirements must be met prior to participation:

First: I am voluntarily trying out for a position on Bryant University’s Rowing team.

Second: I have been physically examined by a licensed medical physician within six months of the
try-out, and am submitting a copy of that examination to the Bryant Sports Medicine Staff. I
understand that as part of my exam, I have to have proof of sickle cell testing.

Third: I have no medical problems or recent injuries that would increase the risk of injury or limit my
performances as I try out for said team.

Fourth: I am fully aware of the nature of the sport of Rowing , the risk
associated with it, and the possibility of physical injury to any extent.

Fifth: I am submitting a copy of my medical insurance by provider BlueCross BlueShield


and policy number MTN983825454 to the Bryant Sports Medicine Staff.

Sixth: I hereby release Bryant University from any and all liability which may result or arise from
either my athletics participation or any medical treatment I may receive as result of trying out
for the sport of Rowing , for Bryant University.

Seventh: I am enrolled as a full-time student (12 credit hour minimum) at Bryant University.

I understand that Bryant University’s Athletic Department’s medical insurance will not pay any costs
associated with injuries sustained during an athletic try-out. I understand I am solely responsible for any
costs associated with any injury that may occur during this try-out and neither Bryant University nor its
insurers will pay for any try-out related medical expenses.

I understand that at the end of my 14 day try-out if I am not added to the team I must cease participating. If I
am added to the team I must make an appointment with the Sr. Associate AD/SWA (232-6277) and Sports
Medicine (232-6073) staff to complete the necessary documents in order to practice and compete.

I have read the above and am aware of its contents.

Samantha Neal 9119124


Signature of Student Date

Signature of Parent/Legal Guardian if under 18 Date

You might also like