GLENVIEW ATHLETICS
INSURANCE WAIVER FORM
It is recommended that an athlete’s parent(s) check with their present hospitalization policy to
determine the probability that all athletic injuries are covered.
If you wish to waive (not purchase) the school offered insurance policy, please sign the statement
below and return it with your son/daughter. It is most important that your child give the signed
statement to his/her coach.
If you wish to purchase school insurance, your child should ask his/her coach for a school form
application. These forms can also be obtained in the main office.
If you have any questions, please contact Clay Crenshaw the Athletic Director at Glenview at:
864-716-4060.
My child is covered with my insurance policy for athletic injuries. My policy is carried by:
Insurance Company:________________________________________________________
Policy Number:____________________________________________________________
I DO NOT wish to purchase school insurance for _________________________. I have signed
(Name)
below:
Name of Sport : _____________________________
______________________________________________ _________________
Signature of parent or guardian
Date
______________________________________________ __________________
Name of Student
Date
This waiver is only valid for offseason sports programs, but not limited to spring football,
spring volleyball, speed and agility training, etc.