Grand Island Central Catholic Shooting Team

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1 Letter Program Requirements Signed Parental Consent Form. Signed Code of Conduct Form (Student & Parent / Guardian). Be enrolled At GICC during the time of participation. Follow & Live The "Code of Conduct". Participate in a minimum of 4 out of 8 Scheduled Shoots Participate in at least 50% of team practices Considerations are also as follows 1. Be among the top 10% of the CNTC (Central Nebraska Trapshooting Conference) rankings at year end. 2. Finish among the top 10% of the National Championship Cornhusker Trap Shoot. 3. Finish first, second or third team in the conference 4 of the 7 week conference events. 4. Earn a spot on the All-Conference first, second or third team All lettering students are required to work team events and participate in team projects, community service and fund raisers during the year. Should you have any questions or comments please contact: Timothy J. O Connor (Cell)

2 Parental Consent And Hunter Safety Course Verification Form All shooters must have a hunter safety certificate by the first conference shoot. This is a MANDATORY requirement to compete in any Conference Shoot. A parent or legal guardian MUST sign this permission form for a student to be eligible to join the team. Student Name: DOB Grade Level ADDRESS: CTY/ST/ZIP: Family Phone: Home Student Cell Dad s cell Mom s cell Student Dad Mom Hunter Safety #: Parents Names: Parent/Guardian Signature DATE:

3 Code of Conduct You have indicated an interest in becoming a member of the GICC. Membership on the team is considered a privilege, not a right. You will be a member of a team that expects high standards of behavior from its members, both at shooting events and in your everyday activities. Listed below is our Code of Conduct: Shooters will show up ON TIME scheduled events Shooters will be ready to shoot at the designated time. All Shooters shall exercise the highest level of firearm safety at all times. All firearms are kept in gun racks with actions open, and unloaded. Firearms must be pointed down range at all times. Firearms must be pointed directly up or directly down with the breech open, while being carried. Firearms may be loaded only when coaches or range officers confirm your squad is ready to shoot, also load only when it is your turn to shoot. At NO TIME, will the muzzle of any firearm pass near, or be pointed, at any other person or shooter. Shooters may not pass forward of their designated yardage for any reason without permission. Ear and eye protection is mandatory for all persons on the range. Shooters will abide by all rules of the Mid-Nebraska Trapshooting Conference. If a shooter must leave the range for any reason they are required to get permission from a designated coach prior to leaving the grounds. The use of drugs, alcohol and/or tobacco products by any student shooters is prohibited. Shooters must be enrolled in school and attending school at the time of any team event. If you are suspended or expelled from school you will not be eligible to participate. Team members are expected to make satisfactory academic progress outlined by the school administration. Shooters will act in a safe and responsible manner at all times. No inexperienced member may shoot unless supervised by a designated coach or coaching assistant.

4 Team members will exhibit the highest level of sportsmanship Shooters will behave as Gentlemen or Ladies Shooters will treat team members and others with respect and support. Shooters will respect other teams. Shooters will not cause a conflict or agitate others in any manner. Shooters will provide positive support at all times. Shooters and those associated with the team will not be loud or distracting while we or others are on the line Shooters will provide encouragement and moral support to all. Shooters will shake the hands of other competitors before and after all contests and shoot offs. Shooters will act as team members and provide whatever is needed to help the good of the overall team. You are expected to keep the GICC name in the highest of good standing, your behavior on and off the range is a direct reflection of the team and the school. All members of the shooting team are required to perform community service at the Heartland Public Shooting Park and at fund raising activities for the Team. Members of the are expected to obey this Code of Conduct. Failure to do so can lead to expulsion from the team. All members, parents or legal guardians, receive a copy of this Code and by signing below acknowledge receipt and acceptance of the Code of Conduct. Student Shooters Signature: Parent/ Guardian Signature: Date Signed:

5 ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND / OR VOLUNTEERING IN THIS ACTIVITY OR EVENT, Including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without, fault. I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity or event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity or event. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity or event. In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Grand Island Central Catholic, Timothy J. O Connor and/or their directors, officers, employees, volunteers, representatives, and agents, the activity or event holders, activity or event sponsors, activity or event volunteers; (B) I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims make as a result of participation in this activity or event, whether caused by the negligence of release or otherwise. I acknowledge that Grand Island Central Catholic High School and/or Timothy J. O Connor and/or their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific event or activity on behalf of Grand Island Central Catholic High School and/or Timothy J. O Connor. I acknowledge that this activity or event may invoice a test of a person's physical and mental limits and may carry with it the potential for death, serious injury, and property loss. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition or participants, equipment, vehicle traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. These risks are not only inherent to participants, but are also present for volunteers. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity or event. I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and assigns. The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. Print Participant's Name Age Signature (if under 18 years old, Date Parent or guardian must also sign) PARENT / GUARDIAN WAIVER FOR MINORS (Under 18 years old) The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward's participation in the activity or event, and has agreed individually and on behalf of the child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian. Print Participant's Name Age Signature (if under 18 years old, Date Parent or guardian must also sign)

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