• FY27 Tryout Personal Information & Release & Waiver of Liability

    All materials must be completed in its entirety, signed, & submitted BEFORE your tryout can commence.
  • Date of Birth*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Health History Information / Medical Alerts

  • Have you ever been diagnosed with any allergies and/or ever had an unfavorable and/or allergic reaction to any medications, food items, or stings / bites?*
  • Have you ever been diagnosed with asthma and/or exercise-induced asthma?*
  • Have you ever had chest pain and/or unexplained shortness of breath during or after exercise / practice?*
  • Have you ever felt dizzy, lightheaded, and/or passed out during or after exercise / practice?*
  • Have you ever had the feeling of your heart racing or skipping beats during or after exercise / practice?*
  • Has a physician or medical personnel ever denied or restricted your participation in sports due to any heart problems?*
  • Do you cough, wheeze, or have trouble breathing during or after exercise / practice?*
  • Do you have only one of two paired, functioning organs (eyes, kidneys, ovary, testicles, etc.)?*
  • Have you ever been told by a physician or other medical personnel to restrict your sports activity or to not participate in a sport?*
  • Are you aware of any reasons why you should not participate in intercollegiate athletics at the University of Michigan at this time?*
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  • Tryout Release & Waiver of Liability

  • I acknowledge that I am completely aware of the inherent risks associated with my sport and with participation in a try-out for that sport.  I understand that, in addition to the risks of injury, which may include death, my participation in that sport may cause aggravation of pre-existing injuries. Knowing this, I warrant that I am trying out for the sport on my own free will and that I take full responsibility for any injury that may occur as a result of my participation in the try-out. Further, in consideration of the University of Michigan granting me permission to participate in this tryout, I hereby agree to irrevocably and unconditionally release, hold harmless, and indemnify the State of Michigan, the University System of Michigan, the University of Michigan, and their officers, employees and agents (hereinafter referred to as the "University") from any and all liability, demands, claims, and causes of action in the event that I become injured in any way as a result of my participation in the tryout period. I warrant that I am in adequate physical condition, and physically able to perform this tryout, and that I have no known physical conditions, which could be materially worsened or aggravated by my participation unless stated in this document.

     

    I confirm that I have submitted a copy of a physical examination which was completed by a physician within the past six (6) months stating that I am in good physical health. It is my understanding that the University of Michigan Department of Intercollegiate Athletics may deny my participation in a tryout due to a medical condition found in my health history and/or physical exam. I understand that any pre-existing medical condition may have to be corrected prior to the try-out and/or acceptance to the team. In addition, I further understand that all costs associated with any tests, consultations, and/or medical procedures needed to gain approval/certification for participation and/or costs associated with any medical care that is necessary as a result of my participation in the tryout are the responsibility of myself, and/or my parent(s) / guardian(s). I further acknowledge that I am signing this waiver voluntarily, with complete understanding of the terms and conditions herein, and that, as applicable, I have discussed my participation and the related risks with my parents and/or guardians.

     

  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year
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