*Read the following information and check each box to indicate your agreement.
As the Parent or Legal Guardian of the above name player, I hereby give 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 the life, limb, or well-being of my dependent.
I, the parent/guardian of the registrant, a
minor agree that I and the registrant will abide by the rules of
Futsal San Jose, its affiliated organizations and sponsors.
Recognizing the possibility of physical injury associated with
minisoccer and in consideration for Futsal San Jose accepting the
registrant for its Futsal (5-A-SIDE/Minisoccer) programs and
activities, I hereby release, discharge, and or
indemnify Fustal San Jose and USFF, its affiliated organizations and sponsors, their
employees and associated personnel, including the owners of gymnasiums
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 authorize.