As Parent and/or Guardian of the named Child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination, and immunizations for the named Child. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Rachellasse Limited and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

League sign ups are non-refundable. Trainings can be moved to another day within the quarter and missed trainings can be made up within the same quarter. With signing up your child will be placed on a team and teammates will rely on your attendance to compete in league games.

I hereby give my approval for my child’s participation in any and all activities prepared during the training. In exchange for the acceptance of said child’s candidacy, I assume all risks and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Rachellasse Limited and all its respective officers, agents, and representatives from any and all liability for injuries to the said child arising out of traveling to, participating in, or returning from selected training sessions. In case of injury to said child, I hereby waive all claims against Rachellasse Limited, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including soccer. Some of these injuries include but are not limited to, the risk of fractures, paralysis, or death. We sometimes take photographs or video footage for publicity purposes. These images may appear in our printed publications and publicity materials, on our website, or both. We may also send the images to the news media, who may use them in printed publications and on their website, and store them in their archive. They may also syndicate the photos to other media for possible use, either in printed publications, or on websites, or both. When we submit photographs and information to the media, we have no control over when, where, if, or how they will be used. I hereby give my approval for my child to potentially be filmed while participating in the trainings. I understand that filling out this form is a binding registration for my child. Additionally, I agree to receive texts and/or emails from Fussbally.