By submitting the form, I, as the registrant, hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may given under whatever conditions are necessary to preserve the life, limb, or well-being of registrant.
By submitting the form, I, the registrant, agree that I will abide by the rules of JosiahKids Incorporated, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and basketball and in consideration for JosiahKids Inc., accepting for its soccer programs and activities (the "Programs"). I hereby release, discharge and/or otherwise indemnify JosiahKids Inc. its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claimby as a result of my participation in the Programs. I hereby authorize and agree to the above.