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Women's Summer SOCCER LEAGUE Updated 4/2008 HOLD-HARMLESS FORM Each player participating in the Women's Summer Soccer League must have the following form signed by both parents/guardians. Team officials should make enough copies for the team members and forward the signed copies to Jason Hunter by June 11, 2008. Players CANNOT participate without this signed statement. I/WE hereby give my/our permission for the participation of my/our child in the athletic program of the Women's Summer Soccer League. I/We understand that care and caution will be exercised by the Women's Summer Soccer League, its coaches, players, representatives and referees involved in this activity. I/We also understand that participation in athletic competition carries a risk of injury. I/WE agree to Hold-Harmless the Women's Summer Soccer League, its' coaches, players, representatives and playing field owners involved in this activity. I/We furthermore certify that my/our knowledge based on medical examinations that the participant suffers from no pre-existing medical condition, which would be aggravated or injurious to the participant in this activity.
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Name of Participant: Insurance Company:
eMail:
Signature of Father/Male Guardian: ___________________________________________________
Signature of Mother/Female Guardian: _________________________________________________ Participants Signature: ______________________________________________ Date: High School: |