COUNTDOWN TO THE 2017 State Meet
Sat, Sep 23, 2017

OHIO CROSS COUNTRY!



2017 State Meet - INDIVIDUAL REGISTRATION



RUNNER INFORMATION

First Name:
Last Name:
City:
Zip Code:
Email:
Home Phone:
Birth Date:
Gender:
Grade:
School:
If your school is not listed, please let us know and we'll add it for you.
 

MEDICAL / EMERGENCY CONTACT INFO

Emergency Contact:
Phone:
Relationship to Runner:
 

EVENT INFORMATION

Select your event:
For a list of eligible events, please choose your grade and gender above.
 

WAIVER INFORMATION

OhioCrossCountry.org
Middle School State Cross Country

In consideration of being permitted to participate in any way with the 2017 State Meet the undersigned:

  1. Agrees and represents that I understand the nature of track and field and that I am qualified, in good health, and proper physical condition to participate. I also agree that if at any time I believe conditions to be unsafe, I will discontinue further participation in the district and state meet.
  2. Fully understand that athletic activities involve risks of serious injury, permanent disability, paralysis, and death and social losses which might result not only from their actions or negligence, but the actions or negligence of others, the rules of play, or the condition of the tournament site or any of the equipment used. There may be other risks not known or foreseeable at this time.
  3. Agree that the parents or a legal guardian will inspect the facilities and equipment to insure proper safety for the minor participants. If anything is believed to be unsafe, a coach/parent or official, should be notified immediately of such conditions and the participant will refuse to participate.
  4. Each participant is to be properly insured and/or pay all medical costs in the event of an injury and in the case of emergency must provide a contact person for each minor participant. Furthermore assume all risks and accept personal responsibility for damages on account of injury, death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release.
  5. Release, waive, and agree not to sue ohiocrosscountry.org, Championship Sports Inc. and Ohio Cross Country, meet directors, staff or volunteers of the organizations, if applicable, owners and leasers of the tournament sites, which are all released from demands, losses or damages on account of injury, death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release.
  6. If injury or illness occurs while competing in the 2017 State Meet and tournament event, I authorize emergency first aid, medical treatment, medication or surgery necessary by medical personnel.
  7. I give my permission for the participants listed below to be used in any middle school cross country championship, regional meets and Championship Sports, Inc. promotions. This includes pictures, interviews, television, radio or film coverage during any of the regional and state competition, events without compensation to me.
  8. This waiver / agreement shall be binding upon the heirs, executors, and assigns of all the undersigned.
  9. I have read and fully understand all forms, rules, procedures and policy dealing with the 2017 State Meet.
I understand and have read the above:   Yes

 

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