By submitting this form, the above participant has permission to participate in the South Shore Slam Volleyball Club Tryout. I certify that participant has full medical insurnace. I also certify that to the best of my knowledge that the participant is physically fit to participate in the activities described. If during the course of the activities, I/he/she becomes ill or sustain an injury, I hereby authorize you to obtain emergeny medical/dental care. I assume financial responsibility for the bills incurred.