ALISO VIEJO CHRISTIAN SCHOOL

Athletic Permission Slip Form

Athletic Permission Slip Form

Student Information

Parent or Guardian Information

Sports Information

Parents will be billed $75 if uniforms are not returned after the season.

Medical Information

Emergency Contacts

Payment Information

$
Make Check Payable to:
Aliso Viejo Christian School

Mail your Check to:
Aliso Viejo Christian School
1 Orion, Aliso Viejo
CA 92656

Authorization Information

I, the Parent/Legal Guardian, hereby give permission for Child mentioned above to participate in sports practice and games mentioned above as outlined by the coach. This would include any additional participation in selected games, practices, or tournaments on or off campus that may arise mid-season.
I will not hold Aliso Viejo Christian School (AVCS) or any of its affiliates, officers, directors, and agents liable for injury caused by common accident, illness, or the rendering of emergency care.

Release of Liability and Authorization to Provide Treatment
In case of medical emergency, I understand that every effort will be made to contact a responsible parent or guardian of the child(ren). In the event that contact cannot be made, I hereby give permission to AVCS to secure proper treatment for, to hospitalize, and to order such injections, x-rays, anesthesia, or operations as may be urgently necessary for the child(ren). This care is to be rendered under the general or special supervision of any physician/surgeon under the provisions of the Medical Practice Act and on the medical staff of a licensed hospital. This permission includes any necessary dental treatment to be performed by a licensed dentist under the provision of the Dental Practice Act. In the event of a claim, family insurance may be liable.

Sending
Aliso Viejo Christian School | 1 Orion, Aliso Viejo, CA 92656 | (949) 389-0300