Emergency Information and Waiver Form

To be completed by all Tyndale Students before participating in ANY athletic programming or event, including INTRAMURAL SPORTS, CASUAL RECREATION, GROUP FITNESS, SPECIAL EVENTS, DROP-IN ATHLETIC CLUBS, OR USE OF TYNDALE'S ATHLETIC FACILITY.

You can also download this form in PDF format:

 

Address
Emergency Contacts
Physician Information
If you have any medical conditions, including allergies, of which you are aware, and which might affect your ability to safely participate in athletic programming or events, list them here. This information will be kept confidential by Tyndale's Athletic Department

In consideration of Tyndale permitting me to participate in athletic programming or events:

  • I state that I do not have any medical condition (other than medical conditions that I have listed above) which might affect my ability to safely participate in athletic programming or events in which I wish to participate. If I do have any such medical condition, my physician has advised me that it is safe for me to participate in the programming or events in which I wish to participate;
  • I agree that I will not participate in any athletic programming or event that may cause harm or injury to me due to any medical condition that I have;
  • I understand that there are inherent risks associated with participating in any athletic event (such as the risk of injury);
  • I understand that while all of Tyndale’s Athletic Department staff are certified in CPR and First Aid, Tyndale does not have medical staff on site or at athletic events to deal with emergencies;
  • I agree to inform myself of any risks associated with participation in any athletic programming or events, and I voluntarily assume and accept such risks;
  • I acknowledge and agree that Tyndale will not be liable for any injury, loss or harm to me as a result of my participation in such athletic programming or events; and
  • I hereby release Tyndale and its officers, directors, employees, agents and representatives from any actions, claims or demands for any injury, harm or loss that I suffer to my person or property arising out of or related in any way to my participation in athletic programming or events associated with Tyndale including, without restriction, any injury, harm or loss caused by the negligence of Tyndale or any of its officers, directors, employees, agents or representatives.