Release of Liability and Medical Authorization:
In consideration of North Paulding Wolfpack Soccer granting the student permission to participate in North Paulding Wolfpack Soccer camps, I hereby assume all risks of his or her personal injury (including death) that may result from a North Paulding Wolfpack Soccer activity. As guardian, I do hereby release Coerver Coaching Georgia, North Paulding High School, the North Paulding Soccer Booster Club and their officers, employees, agents, instructors, and all participants in said North Paulding Wolfpack Soccer camps from all liability, including claims and suits at law or in equity, for injury, fatal, or otherwise which may result from the student taking part in North Paulding Wolfpack Soccer activities.
In addition, I grant permission to the staff of the Coerver Coaching Georgia and North Paulding Wolfpack Soccer camp to act on my behalf for my child in granting permission for evaluation/treatment of minor medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me. In the event I cannot be reached, I hereby consent to such medical treatment as deemed necessary by a coach or trainer.
Also, I authorize the disclosure of medical information to my insurance company for purpose of claim. I understand that I will be responsible for any medical or other charges in connection with student’s attendance at this camp. (Each camper must provide his/her own medical insurance).
I further agree to allow North Paulding Wolfpack Soccer to use my child’s photograph or likeness in future publications or on the web associated with North Paulding High School and North Paulding Wolfpack Soccer.