CALIFORNIA HIGH SCHOOL 

  FOOTBALL

 

 

PLEASE PRINT WAIVER  AND RETURN

CHS CONDOR FOOTBALL

 

WHITTIER UNION HIGH SCHOOL DISTRICT

MEDICAL TREATMENT AUTHORIZATION

WAIVER, RELEASE, AND INDEMNITY AGREEMENT

ASSUMPTION OF RISK FOR PARTICIPATION IN VOLUNTARY PROGRAM

 

CALIFORNIA HIGH SCHOOL

 

Participant:_______________________________________________________________________________________

 

Dates of Activity: ____________________________________ Name of School:______________________________

 

Description of Activity:_____________________________________________________________________________

 

 



            Transportation is parent responsibility

 

 

By my signature below, I hereby give permission for my son/daughter to participate in the above-described activity.  I realize that participation in this activity is voluntary.  I understand that this activity could cause serious illness and/or injury or death, and I assume all risks for any such illness and/or injury or death.  I am aware of the transportation arrangements for this activity and acknowledge that if the school is providing no transportation, the parent has complete and sole responsibility for all transportation arrangements.  I am aware that the District does not provide coverage for medical treatment in connection with this activity.  If a participant does not have private medical insurance, low-cost school insurance is available through the District.

 

For and in consideration of permitting the above named child to participate in the activity described above, the undersigned hereby voluntarily releases, discharges, waives, and relinquishes any and all actions or causes of action for personal injury, bodily injury, property damage or wrongful death occurring to his/her child/ward or him/herself arising in any way whatsoever as a result of engaging in said activity or any activities incidental thereto wherever or however the same may occur and for whatever period said activities may continue.  The undersigned does for him/herself, his/her heirs, executors, administrators and assigns hereby release, waive discharge and relinquish any action or causes of action, aforesaid, which may hereafter arise for him/herself and for his/her estate, and agrees that under no circumstances will he/she or his/her heirs, executors, administrators and assigns prosecute, present any claim for personal injury, bodily injury, property damage or wrongful death against the District or any of its officers, agents, or employees for any of said causes of action, whether the same shall arise by the negligence of any of said persons, or otherwise.

 

The undersigned hereby acknowledges that he/she knowingly and voluntarily assumes all risks of bodily injury to his/her child/ward or him/herself, as stated, and expressly acknowledges their intention, by executing this instrument, to exempt and relieve the District, its officers, agents, and employees, from any liability for personal injury, bodily injury, property damage or wrongful death that may arise out of or in any way be connected with the above-described activity.  I have read and understand the foregoing and have voluntarily signed this agreement.  I am aware of the potential risks involved in this activity and I am fully aware of the legal consequences of signing this instrument.  I further acknowledge that the District does not automatically provide for medical coverage for participants in this activity.

 

Health or special needs:     Check as appropriate.

 

 __________        Participant has no special health needs the staff should be aware of, and no medication is required.

__________         Participant has a special need, and instructions are attached.  Number of attached pages ________.

__________         Other:

 

In the event of illness or injury, I do hereby consent to whatever x-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment and hospital care and emergency transportation considered necessary in the best judgment of the attending physician, surgeon, or dentist and performed under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services.

 

________________________________________________                _______________________________________________

Parent/Guardian Signature                                                                                                Participant Signature

________________________________________________                _______________________________________________

Parent/Guardian Name (Please Print)                                              Date                                  Phone Number

________________________________________________                _______________________________________________

Street Address                                                                               City                             State                         Zip Code

Health Plan  _____________________________________                  Plan # _________________________________________

 

________________________________________________                 _______________________________________________

Telephone #                                                            Email Address (Will receive emails of future camp dates)

  Print   


 

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TICKETS ARE $ 20.00 PER PERSON

VARSITY PLAYERS DO NOT NEED A TICKET

 

TICKETS ARE $ 20.00 PER PERSON

VARSITY PLAYERS DO NOT NEED A TICKET

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We had a photographer working with the Varsity football team

this season she has put a photo book together, she is currently

 taking final orders if you're interested please contact her directly.

 Orders must be place by Feb 2, 2015


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SUPPORT CONDOR FOOTBALL

 

 

INTERESTED IN DONATING YOUR TIME BUT NOT ABLE TO ?

WHY NOT MAKE A DONATION WITH YOUR CREDIT CARD TO HELP THE CALIFORNIA HIGH SCHOOL FOOTBALL PROGRAM, ITS QUICK, EASY AND 100% SECURE!! 


ALL YOUR DONATIONS WILL GO DIRECTLY TO MAKE CAL HIGH FOOTBALL THE BEST PROGRAM AROUND

AND EVERY DONATION WILL HELP.

 

ALL DONATIONS ARE TAX DEDUCTIBLE

 

THANK YOU.

 

PLEASE CLICK ON HELMET TO BE TAKEN TO OUR DONATION  PAGE

 

 

QUESTIONS PLEASE CONTACT

SCHERRY ROSA ( 213 ) 369-3500

EMAIL: SROSA8696@GMAIL.COM

 

 


 

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ADOPT - A - CONDOR

 

For our son, Alex Ayala

You play football with so much heart and passion. Follow your

dreams with the same dedication, and live your life to the fullest.

We are so proud of the young man you have become.

Love, Mom, Dad & sister Gia

*

Nathan Gudion

Nathan, Best of luck and I hope you have a blast!

Love you ! Tia Celia

*

Jeremy Ravelo

Good luck Jeremy ! We are proud of you 

Grandpa & Grandma

*

Daniel Castillo

Daniel, Uncle Louie + Auntie Connie pray for you, for the

best years in football as well as in school.

Do the best you can. LOVE YOU

*

Josh and Jo - Jo Lara,

Very proud to be your momma.

100% on that football field and no less !

We love you both, Mom, Johnny & Jadee

*

Gabriel Rivera

Gabriel you have become a wonderful young man.

Keep moving forward every day.

Love you Eileen

*

Nathanial Calzada

Let your play do the talking be safe

*

Josh and Jo - Jo Lara,

We are very proud of your hard work.

We love you, Tita, Papa, Uncle Ronnie,

Jeremy, Isaac & Darlene Lara

*

Dylan Tindal

Way to go making Varsity as a sophomore. We are very

proud of you. Keep up the good work.

Love always, Dad & Mom

*

Jordan Collazo

Jordan, just hoping you have a great senior year.

We are really proud of you, keep up the good work.

Juan M. + Berta G. Velarde

*

Andrew Manriquez

Andrew, We are all so proud of all the work you 've done so far

academically and physically, we relish in your success !

Love you, Nina

*

Gabriel Venegas

Go Gabe ! Go Condors !

We are proud of you and wish you a great season !

Wes & Stephanie Williams

*

James Contreras

James,

PH 4:13 I can do all things through Him who strengthens me.

Love you, Gramma

*

Andrew Raaff

Andrew, We are so proud of you.

Continue to do your best.God Bless you

Love, Opa & Oma

*

Andrew Raaff

Andrew, Always work hard and play fair.

We are behind you and proud of you.

Your grandparents,

Oma, Opa, Kiko + Kika

*

Vincent Zellerino

Vince, Wish you a successful season.

Uncle Don & Aunt Dede

*

Vincent Zellerino

I am so PROUD of you !

Best wishes for a great football season and a

memorable Junior year at Cal High

Love, Teri Watson

*

Rafael De Jesus

Rafael, We are very proud of you, keep up your

great work with your football team and your academics.

We love you always.

Hooray to my Alma Mater.

*

Elizabeth Mitchell

Best of luck this season Anthonie !

Keepup all the hard work in football and everything else !

Love you.

*

Jason S. Torres

Enjoy football this year !

GO CONDORS !

*

Anonymous

Tyus, have fun this football season.

We love you !

Aunt Kitty and uncle Chris.

*

Lisa Hernandez

Good luck Omar Gonzalez and Michael Romero 

have a  great season 

from Hernandez Family

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Hector Benavidez

Keep going Hector D. Benavidez

we are froud of you 

*

Monica & Michael Miranda

We're rooting for you and the team, Garrett !

Have a great season Condors !!!

*

Sue Davis

Frank Rodriguez enjoy your 2014 football season

Love Aunt Sue

*

Oscar Perez

GO DAN-O GO !!!!

*

Darlene Montoya - Lara

Best to you Keoki !!

& Happy Birthday 8 / 31 !!

*

Kristen & Dustin Cisneros

Good luck Andrew Reyes ! We hope you 

have a great football season.

Love Kristen & Dustin Cisneros

*

Keeo up the good work Anthonie, I know you will

have a great season.

*

Mario Hernandez

Good luck this year Mike !!!

*

Carlos Cervantes

Good luck Michael Jr !!!

*

Vince good luck during the 2014 Football season.

Love Aunt Sue & Uncle Randy

*

Alecia Flores

Good luck work hard never give up.

Love & support you the Flores family.

*

Rosa Guzman

Good luck on this season Gabriel !! 

Nana Rosa loves you !!

*

Christina Medina

Good luck Vinnie ! Sending good vibes all the way from Arizona !!

Have a great season ! Go get em Condors ! 

Love you , Nina Chris

 

*


CONDOR FOOTBALL WOULD LIKE

TO THANK OUR

SPONSORS

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Email:  calhi@chscondorfootball.com

Michael Arevalo