Section III. Parental Consent & Medical Treatment Authorization.
I/We the parents/guardians of the above named participant, hereby give my/our approval for participation in any and all GCYFL & Local Chapter activities during the current season. I/We assume all risks and hazards incidental to such participation including transportation to and from such activities; and I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless the local team, chapter, league, and other organizations this football program is affiliated with, the organizers, sponsors, supervisors, cooches, and other participants, and persons transporting my/our child to and from such activities or games for any claim out of injury to my/our child.
The League has "Secondary Excess Accident Medical Group Insurance Coverage" only. over any valid collectable coverage provided by the parent's separate personal or employee's dependent group insurance.
In executing the forgoing release, I/We the undersigned acknowledge and represent that (A) I/We understand that any claim for injury must be reported to the players coach and/or an authorized organization/GCYFL official within 30 days of the injury. (B) I/We understand that any monies I/We paid to the team/Chapter our child is affiliated with, does not constitute a premium payment for insurance coverage. Name of our Personal or Group Insurance Carrier is: