As the parent/guardian of         PRINT CHILD'S FULL NAME       I,         PRINT YOUR FULL NAME       , do fully understand and acknowledge that soccer is a contact sport accompanied by an inherent risk of injury, or in extreme cases paralysis or death, and that by choosing to enroll my child in an older age bracket there is an increase in the likelihood and severity of these risks due to mismatches in size, speed and/or strength as a result of competing with the older children. Furthermore, I do understand and acknowledge that the emotional and social influences of being amongst older children may not be appropriate for the age level of my child. In light of these considerations, I hereby assume whatever risks are involved and give my consent for my child to participate in every activity of the ________ age bracket and represent that my child is physically and emotionally mature enough to participate with the older children.

 

In addition, I hereby hold Hendrie’s Soccer Academy, its volunteers, affiliates, employees, and representatives harmless from any and all claims, injuries, damages, and liabilities sustained or incurred in connection with my child’s participation in any Hendrie’s Soccer Academy activity or use of facilities.

 

I understand that Hendrie’s Soccer Academy does not carry insurance for hospitalization or medical costs and will not provide coverage for persons injured while participating in this program. I, therefore, agree to seek reimbursement through my own insurance and I assume the entire responsibility for what my insurance provider does not cover.

 

Hendrie’s Soccer Academy maintains the right to utilize any photographs or video recordings of the campers participating at camp to be used for advertising and/or publicity purposes.

 

Hendrie’s Soccer Academy is not responsible for any damaged, lost or stolen property.

 

By signing this consent form, I am acknowledging that I have read, understand and accept it in its entirety.

 

(PARENTS/GUARDIANS OR ATHLETES WHO DO NOT WISH TO ACCEPT ALL OF THE RISKS, TERMS, AND CONDITIONS DESCRIBED IN THIS WARNING SHOULD NOT SIGN THIS CONSENT FORM.)

 

Parent/Guardian Signature _________________________ Date: _________