Submission of this form indicates that you have read and agree to the terms of our waiver.
Waiver/Indemnification: As parent/Legal guardian of the child named herein, I hearby represent that the child has been examined by a pediatrician and is physically fit to participate in soccer. I understand that there are inherent risks inparticipating in this athletic program. I hereby accept responsibility for and agree to pay any and all costs of medical treatment resulting from any injury suffered by my child as a result of his/her participation, and/or representatives from any and all liability, damage, cost or expense arising out of my child's participation, of every kind and nature in HappyFeet events. In the event that I cannot be reached in emergency, I hereby give permission for care to be administered by a qualified staff member, EMT, physician/staff or hospital, or any other qualified individual to provide any medical treatment deemed necessary for my child. As well, I give permission to Spark Soccer, LLC to take photos of my child participating in the program for various marketing purposes.