Medical Release and Authorization
As Parent and/or Guardian of the named athlete, 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 athlete. 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 the SS Sports Enterprises INC 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 camp.
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.
Concussion Waiver
I UNDERSTAND AND ACKNOWLEDGE, as a Parent or Legal Guardian and as a Participant, it is important to recognize the signs, symptoms and behaviors of concussions. By signing this form I am stating that I understand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury.
I aware of the Parent Concussion and Head Injury Information and understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I agree that the Participant must be removed from practice/play if a concussion is suspected. I understand that it is my
responsibility to seek medical treatment if a suspected concussion is reported to me and that the Participant cannot return to practice/play until providing written clearance from an appropriate health care provider to his/her coach. I
understand the possible consequences of the Participant returning to practice/play too soon.
Appearance Agreement
I understand that as a participant and/or a spectator at the Camp, the registered minor may be included in videotapes, photographs, DVDs, Podcasts and videocasts taken during the camp. Therefore, without reservation or limitations, I, in my own behalf and on behalf of Minor, hereby assign, transfer and grant to SS Sports Enterprises, its successors, assignees, licensees, sponsors, any television networks, and all other commercial exhibitors the exclusive right to photograph and / or videotape Minor and to utilize such videotapes and photographs and Minor's name, face, likeness, voice and appearance as a part of the Camp, in advertising and promoting the Camp or in advertising and promoting similar future events and for any use or purpose whatsoever and without reservations or limitations. I further understand that neither SS Sports Enterprises INC nor any third party is under any obligation to exercise any of the foregoing rights, licenses and privileges. I, in my own behalf and on behalf of the minor, waive any right to inspect or approve the copies of any promotional materials related thereto.