| I,
the parent/guardian of the registrant, a minor, agree that I and the registrant
will abide by the rules of USYSA, its affiliated organizations and sponsors.
Recognizing the possibility of physical injury associated with soccer and
in consideration for the USYSA accepting the registrant for its soccer
programs and activities (the "Programs"), I hereby release, discharge and/or
otherwise indemnify the USYSA, its affiliated organizations and sponsors,
their employees and associated personnel, including the owners of the fields
and facilities utilized for the programs, against any claim by or on behalf
of the registrant as a result of the registrant's participation in
the Programs and/or being transported to or from the same, which transportation
I hereby authorize.
Name_________________________
Signature______________________ |
|
Consent
for Medical Treatment (Minor)
As a parent or Legal Guardian
of the above named player, I hereby give my consent for emergency medical
care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry.
This care may be given under whatever conditions are necessary to preserve
life, limb or well being of my dependent.
Signature___________________________________
Address_________________________________
City__________________
State____________
Zip_________
Home Phone #_________________
Business Phone #________________ |