St. Paul PAA Signup Area

My Account Information

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Student's Personal Details

* Required information

Gender:	Boy Girl *
First Name:	*
Last Name:	*
Date of Birth:	* (eg. 05/21/1970)
Place of Birth:	City, State
Age:	*
E-Mail Address:	*
Grade 2011-2012:	*
School:	*
Parents Full Name(s):	*

Your Address

Street Address:	*
City:	*
Zip Code:	*

Your Contact Information

Telephone Number:

* (123-456-7890)

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Newsletter:

Your Password

Password:	*
Password Confirmation:	*

Restrictions and Parent Consent Form

Please select one:	No Restrictions Restrictions Listed *
Remarks:

I/We the parent(s) or legal guardian of the above named applicant who has applied for participation in the athletic activities of the Diocesan Recreation Association for the Diocese of Columbus, hereby give my/our consent and approval to his/her participation in any and all activities of the Diocesan Recreation Association and its affiliates for the activity specified. I/we assume all risks and hazards incident to the conduct of such activities including any transportation, and for any consideration of the educational instruction he/she will receive in connection therewith. I/we hereby agree to release and absolve, indemnify, and hold harmless, and do by this instrument release, absolve, indemnify and hold harmless, the Diocesan Recreation Association and its affiliates, the Diocese of Columbus, and any and all of the Catholic Churches and Parishes and any and all supervisors, organizers, coaches, sponsors, and officials of and from any and all liability for any injury to my/our aforementioned child. We waive all claims of any kind against any and all of the organizations or persons hereinabove enumerated, including any and all claims against any person or persons transporting my/our child to or from any such activities hereinabove names. I/we the undersigned hereby declare that I/we have insurance protection covering injuries that may occur (including contact sports) in these activities during the ensuring season. I/we further certify that all information contained in this form is correct.
I/We have read and understand the purpose of this consent form: (type the word "yes" to accept)	*
By submitting this Online Parent Consent form, I/We are agreeing that this legally represents my/our signature as if signed in person. To complete this electronic signature, I/we understand that I/we must acknowledge an email that will be transmitted to the email address provided on this form. Failure to respond to the email indicates that I/we have not completed the electronic signature required to allow the Student-Athlete to participate.