I, the parent/guardian of _______________________________(participant's name), hereby release Nolan Catholic High School, the Catholic Diocese of Fort Worth and their employees and volunteers, and waive all responsibility on their part for any liability with respect to travel and/or sports participation for my child named above and/or any loss of property that may occur at such a time. This waiver and release extends to all practice sessions, travel to and from the activity, and participation in the activity, and shall release Nolan catholic High School, the Catholic Diocese of Fort Worth and their employees and volunteers from any liability except for gross or willful negligence with respect to an injury to the above participant.

It is understood that sports activities, etc. can be dangerous and the parent is responsible for evaluating the participant's fitness to participate in these activities and responsible for any and all insurance to cover this child's participation in these activities. The parent certifies that the child is fit to participate in the summer activity listed above. Please turn in a separate form for each individual activity.

________________________________	_____________				______________
Name of Participant	T-Shirt Size				Grade 2001-2002
________________________________			_________________________________
Previous School (2000-2001)			Current School (2001-2002)
________________________________		_______________		____________
Address		City		Zip

MEDICAL CONSENT
If, in the judgment of any representative of the school, the above named participant should need immediate care and treatment as a result of any injury or illness, I do hereby request, authorize and consent to such care and treatment as a result of any injury or illness, I do hereby request, authorize and consent to such care and treatment as may be given said participant by a physician, trainer, nurse, or school representative, and I do hereby agree to indemnify and release Nolan Catholic High School, the Catholic Diocese of Fort Worth and their employees and volunteers from any and all claims by any person whomever on account of such care and treatment of said participant.Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the above named student. In the event of serious illness, or significant accidental injury of the need for major surgery, I understand that an attempt will be made by the attending physician to contact me in the most expeditious way possible. If said physician is unable to communicate with me, the treatment necessary for the best interest of the above named participant may be given. The participant has ___no known allergies to medications/is allergic to the following medication/s:______________________________________________________________________________________________
EMERGENCY INFORMATION
Emergency Phone Number:___________________________________	(______)______________________
Name of Person & Relationship	Phone Number
Emergency Phone Number #2:________________________________	(______)______________________
Name of Person & Relationship	Phone Number
Family Doctor:____________________________________________	(______)______________________
Doctor's Name	Doctor's Phone Number

I hereby request that my child be allowed to participate in the Summer Camp/League sponsored by Nolan Catholic High School. MY SIGNATURE BELOW INDICATES THAT Ii HAVE READ AND UNDERTAND THE MEDICAL CONSENT, AND THE APPLICATION AND WAIVER FORM. I agree that the releases, the indemnity, and the other agreements contained in this document are a part of the consideration for the child being allowed to attend camp/league.

Please send in this completed form along with a check for $85/$90 payable to Nolan Catholic High School, 4501 Bridge St., Fort Worth, TX 76103 (attention: Summer Athletics) or drop it off at the Nolan Catholic High School's Main Office.

Subscribed and sworn to me this_____________________________day of _______________________________,2001 ___________________________________Notary, Public, Tarrant County, Texas

(______)______________________	(______)______________________	(______)______________________
Home Phone	Work Phone	Fax
___________________________		OPTIONAL INFORMATION
Summer BASKETBALL League ONLY-Team Preference		Height:	Weight:	Position:

__________________________	__________________________	____________
Signature of Parent/Guardian	Print Name of Parent/Guardian	Date