Waivers
Liability Release
I acknowledge that the Madison County Youth Association does not carry insurance on participants in programs. Being aware of this situation and acknowledging that participation in any activity involves a certain degree of risk and injury; I hereby release the Madison County Youth Association/ North Georgia Football youth Association and,board, directors, employees, coaches, instructors, officials and volunteers from any and all liability arising out of any injuries suffered by the above said participant during this activity. I further agree to abide by the policies and procedures of the department, including, but not limited to, the Madison County Youth Association’s Code of Conduct.
Dangers of Concussion
Concussions at all levels of sports have received a great deal of attention and a state law has been passed to address this issue. Adolescent athletes are particularly vulnerable to the effects of concussion. Once considered little more than a minor “ding” to the head, it is now understood that a concussion has the potential to result in death, or changes in brain function (either short-term or long-term). A concussion is a brain injury that results in a temporary disruption of normal brain function. A concussion occurs when the brain is violently rocked back and forth or twisted inside the skull as a result of a blow to the head or body. Continued participation in any sport following a concussion can lead to worsening concussion symptoms, as well as increased risk for further injury to the brain, and even death. Player and parental education in this area is crucial – that is the reason for this document. Refer to it regularly. This form must be signed by a parent or guardian of each athlete who wishes to participate in MCYA athletics. COMMON SIGNS AND SYMPTOMS OF CONCUSSION Headache, dizziness, poor balance, moves clumsily, reduced energy level/tiredness, nausea or vomiting, blurred vision, sensitivity to light and sounds, fogginess of memory, difficulty concentrating, slowed thought processes, confused about surroundings or game assignments, unexplained changes in behavior and personality, loss of consciousness (NOTE: This does not occur in all concussion episodes.) BY-LAW 2.68: GHSA CONCUSSION POLICY: In accordance with Georgia law and national playing rules published by the National Federation of State High School Associations, any athlete who exhibits signs, symptoms, or behaviors consistent with a concussion shall be immediately removed from the practice or contest and shall not return to play until an appropriate health care professional has determined that no concussion has occurred. (NOTE: An appropriate health care professional may include, licensed physician (MD/DO) or another licensed individual under the supervision of a licensed physician, such as a nurse practitioner, physician assistant, or certified athletic trainer who has received training in concussion evaluation and management. a) No athlete is allowed to return to a game or a practice on the same day that a concussion (a) has been diagnosed, OR (b) cannot be ruled out. b) Any athlete diagnosed with a concussion shall be cleared medically by an appropriate health care professional prior to resuming participation in any future practice or contest. The formulation of a gradual return to play protocol shall be a part of the medical clearance. c) It is mandatory that every coach in each MCYA sport participate in a free, online course on concussion management prepared by the NFHS and available at www.nfhslearn.com at least every two years – beginning with the 2013-2014 school year. d) Each school will be responsible for monitoring the participation of its coaches in the concussion management course, and shall keep a record of those who participate.
COVID Waiver and Release
COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal authorities and the State of Georgia recommend social distancing to prevent the spread of COVID-19. Contracting COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Use of Madison County Youth Association (MCYA) facilities or participation in MCYA programs could increase the risk of you or your child contracting COVID-19. MCYA and its staff undertakes every effort to keep our facilities clean and disinfected; however, as with any public facility, we cannot guarantee that you will be 100% safe from airborne illnesses such as COVID-19 or colds and flu while using MCYA facilities or participating in its programs.
Media Release
Madison County Youth Association hopes to show the rest of Madison County what Youth Football and Cheerleading is all about and how much fun you all have. From time to time, we will take a few photos to use as promotional materials. Madison County Youth Association will use these photos mainly on our Facebook page and Website, but they might also be used in promotional emails, flyers, and similar. By checking the box below, I agree to have my child's photo taken and for it to be used by Madison County Youth Association.
