Back to School Blast
Saturday, July 29, 2017
11:00 AM – 3:00 PM
Garfield Memorial Church, Pepper Pike Campus
3650 Lander Road
Pepper Pike, Ohio 44124
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To attend, students must be:
- In grades Kindergarten – 12 for the 2017-18 school year
- Enrolled in Medicaid or without health insurance
- Registered for the event and accompanied by a legal guardian
Sports physicals will be provided upon request for students grades 7 – 12 who participate in school sports. For high school students, please use the new online pre-participation physical evaluation available on ohsaa.org. Simply visit ohsaa.org/medicine/physicalform.htm, click the link to find your school, complete the form, and print. Please bring that copy to the Back to School Blast on July 29. If you are not able to complete and print the online form, computer kiosks will be available at your physical. Students who are not participating in school sports but are requesting physicals do not need to fill out the online pre-participation physical evaluation; paper copies will be provided at the event.
Vaccinations are NOT administered at the Back to School Blast. Should children require additional care as recommended by the healthcare professionals conducting screenings at the event, referrals will be provided so that families may seek follow-up care independent of the Back to School Blast.
Registration is required and closed once 250 children are signed up.
REGISTRATION IS CLOSED
During the event check-in process on July 29, the legal guardian of the child(ren) will be asked to read and sign the Back to School Blast Registration, Permission and Photo Release agreement. For your reference, the text in the release is included below.
Back to School Blast Registration, Permission and Photo Release Form
I hereby give permission for my child to participate in health care and affiliated services at the Garfield Memorial Church “Back to School Blast”. I also agree that any physical, digital or other images of my child captured during the Back to School Blast through video, photo and/or digital camera, may be used solely for the purposes of Garfield Memorial Church and their affiliates for promotional material and publications. I further release and waive any rights of compensation or ownership to any such images. I also hereby release Garfield Memorial Church and its affiliates from any and all liability that may arise from my child’s participation at the Back to School Blast. By signing this form, I also acknowledge that any person performing any type of physical examination on my child at the Back to School Blast is not necessarily performing a complete physical examination and is not liable for civil damages as a result of acts or omissions by such person in performing the physical examination, except acts or omissions amounting to gross negligence or willful and wanton misconduct or which are outside the scope of the relevant license held by such person.