Carson City Schools Foundation
CHS FUTURE RUNNERS AND CARSON 400
CONSENT TO PARTICIPATE, WAIVER OF LIABILITY AND
MEDICAL RELEASE
The Carson City Schools Foundation will host a cross country season for Carson City School District 4th and 5th graders on the following days:
· Wednesday, 9/16/26, 2:45-3:45 practice held at student’s elementary school
· Wednesday, 9/23/26 2:45-3:45 practice held at student’s elementary school
· Wednesday, 9/30/26, 2:45-3:45 practice held at student’s elementary school
· Wednesday, 10/7/26, 6:00pm (girls); 6:30pm (boys) Championship Race at Carson High School (one mile)
Parents/guardians must provide transportation to and from these activities. Students should bring appropriate clothes, shoes and a water bottle.
The Carson City Schools Foundation will host the Carson 100M Drag Races for all K-2nd grade students and the Carson 400M Race for all school-aged students. These races will occur after the cross country championship races at Carson High School on:
· Wednesday, 10/7/26; 7:00pm. Parents/Guardians are responsible for transportation to and from these races.
Parents/Guardians are strongly encouraged to discuss your student’s participation in this activity with a pediatrician or other qualified medical professional.
Please see HERE for the Concussion Flyer and HERE for the Sudden Cardiac Arrest Flyer.
I Agree
I affirm that I have received and read the fact sheets on Concussion and Sudden Cardiac Arrest Flyers to understand warning signs and action in case of an incident.
I Agree
I, the undersigned parent(s) or guardian(s) hereby consent to my child participating in the Future Runners program and/or Carson 400M or 100M. I understand that the
program activities will include athletic training and competition. I understand that I am responsible for transporting my student to and from all activities listed above.
I Agree
I certify that my child is willing and is physically, mentally and emotionally able to participate in the Future Runners Program and/or Carson 400M or 100M.
I Agree
Understanding that my child may need medical treatment during the Future Runners program or Carson 400M or 100M, I hereby authorize the Foundation to administer such
first aid as deemed best under the circumstances, and I consent for my child to receive such treatment. I understand that the school or Foundation will attempt to notify me in the event of an emergency requiring immediate medical care for my child and if they are unable to notify me, they will have my child treated by a duly qualified physician at the nearest hospital or emergency center. Any medical information provided to the Foundation may be shared with emergency medical personnel. I acknowledge that it is my responsibility to keep my child’s records current to reflect any significant changes, in writing, as they occur, e.g. telephone numbers, work location, emergency contacts, child’s physician and health status,
and immunization records.
I Agree
I further state that I HAVE CAREFULLY READ AND UNDERSTAND THE FOREGOING RELEASE AND KNOW THE CONTENTS HEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. I understand that this is a legally binding agreement.
I Agree
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS THAT MAY BE ENCOUNTERED DURING THE PROGRAM ACTIVITIES AND TRANSPORTATION TO/FROM THE EVENTS. I do, for myself and for my child, heirs, and assigns, to the fullest extent permitted by law, hereby irrevocably and unconditionally release, acquit, forever discharge, and agree to indemnify and hold harmless the Carson City Schools Foundation, its trustees, employees, agents, representatives, and volunteers from any and all liability for damages, loss, or injuries, either to person or property, including death, which my student or I may incur or suffer as a result of such participation.
____________________________________________
Parent’s Name
____________________________________________ __________________
Parent’s Signature Date
Name(s) of Participants:
