Gross Catholic High School

Parent/Emergency Contact Information

Parent/Guardian #1 Name:

Parent/Guardian #1 Phone:

Photo Release: *

I give the Gross Jr. Cougar staff permission to post my child’s picture on the their website. I understand that their picture will not be sold but is not completely secure from being stolen off the website. I do not hold Gross Jr. Cougar Organization, nor its volunteers or staff members responsible in the case that my child’s picture is taken from the website. I understand that the purpose of posting pictures is to share with others the activities of our youth, not only through words, but actions as well.

Waiver of Liability and Disclaimer

I/We, the parents or guardians of the above named child hereby give my/our approval to participate in any and all league activities. We assume all risks and hazards incidental to such participation, including transportation to and from the activities. I/We hereby waive, release, absolve, indemnify and agree to hold harmless the Gross Catholic, Jr. Cougar Football organization and/or its affiliated organizations, sponsors, participants and persons for any claim arising out of an injury to my/our child, whether the result of negligence or from any other cause. I/We further acknowledge that Gross Catholic, Jr. Cougar Football and/or its affiliated organizations do not provide medical insurance for players/participants. I/We will furnish a birth certificate for the above named child to league officials if requested.
There will be NO REFUNDS granted!

I have read this waiver statement, and I understand and voluntarily agree to its provisions.