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Parental Consent and Waiver

As parent and or guardian, I hereby give permission for my child listed below to participate in the Mt. Hamilton Youth Soccer League Event and agree to release, indemnify, and hold harmless the organizers and volunteers of these sessions from any and all claims arising out of injury to the above said minor. I also have no knowledge of any physical impairment that would be affected by the above named minor(s) participation in this Event. I acknowledge that soccer activities are of a strenuous physical nature that does pose some inherent risk to injury.

I hereby authorize the organizers/volunteers of these sessions to act for me according to their best judgment in any emergency requiring medical/dental attention. MHYSL will not provide healthand/oraccidentinsuranceforparticipants. My acceptance of this waiver also states that the below named player(s) is covered by my personal medical insurance policy. I understand that I will be financially responsible for all charges and fees incurred in the rendering of said treatment, regardless of whether my medical insurance would cover such charges and fees. Also the coach of your team will have all relevant medical conditions, insurance and physicians information, emergency contacts and any information relevant to the participating player to reference. Lastly, I agree that pictures or video taken during training sessions may be used for future promotional purposes.

I have read, understood and approve the above waiver.