Confirmation Message
logan espinoza
Lincoln/San Francisco | Baseball; Football (11 person) | 2024-25
Dear Logan Espinoza,
This message is to let you know logan espinoza has started the Athletic Clearance process to participate in Baseball; Football (11
person) for Lincoln/San Francisco. The final step in this process requires parent and student signatures in agreement of the consent
to participate. Please print, read, sign and upload or return to the Athletic Director along with your completed physical form
if it has not been uploaded onto HomeCampus.com.
SAN FRANCISCO UNIFIED SCHOOL DISTRICT ATHLETIC OFFICE
VOLUNTARY ACTIVITY PARTICIPATION PARENT/GUARDIAN CONSENT FORM
ACKNOWLEDGMENT AND ASSUMPTION OF POTENTIAL RISK
My student, logan espinoza, wishes to participate in the sport(s) of Baseball; Football (11 person), an activity at
Lincoln/San Francisco, that is sponsored by the San Francisco Unified School District (“District”).
I understand and acknowledge that athletic activities, by their very nature, pose the potential risk of serious
injury/illness to individuals who participate in such activities.
I understand and acknowledge that some of the injuries/illnesses which may result from participating in athletic
activities include, but are not limited to, the following:
1. Sprains/strains 4. Head and/or back injuries 7. Communicable diseases
2. Fractured bones 5. Paralysis 8. Death
3. Unconsciousness 6. Loss of eyesight
I understand and acknowledge that participation in athletic activities is completely voluntary and as such is not required
by the District.
I understand and acknowledge that in order for my student to participate in these activities, I agree to assume liability
and responsibility for any and all potential risks which may be associated with participation in such activities.
I understand, acknowledge, and agree that the District, its employees, officers, agents, or volunteers shall not be liable
for any injury/illness suffered by my student which is incident to and/or associated with preparing for and/or
participating in such activities.
I give my consent for my son/daughter to compete in the sports I have submitted for clearance. In case of illness or
injury, I give my consent for the head coach or site administrator to have my student examined and treated, and I
authorize the medical agency/licensed physicians engaged in providing medical services to render treatment. I consent
to allow the medical agency/licensed physicians engaged in providing medical services to my student to share medical
information about my student with District staff to the extent that doing so is necessary to allow District staff to make a
decision about my student’s participation in an activity. I also consent to permit access to the contents of this form and
my son/daughter’s physical examination form to the medical agency/licensed physicians engaged in providing medical
services to my student.
I acknowledge that I have carefully read this VOLUNTARY ACTIVITIES PARTICIPATION
PARENT/GUARDIAN CONSENT FORM, and that I understand and agree to its terms.
____________________________________ ____________________________________ ______________
PRINT NAME of Parent/Guardian Parent/Guardian Signature Date
____________________________________ ____________________________________ ______________
PRINT NAME of Student Student Signature Date
