I realize that no medical insurance is provided by the Central Valley Resource Center and Exceptional Sports for Youth with Needs and agree to assume the risk for any injury related to my participation or the participation of my dependent. So I agree to make no claims against the Central Valley Resource Center and ESYN or any of its officers, employees, or volunteers for any injury arising from this activity, however caused including liability for negligence. My dependent is physically able to participate in the activity. I consent to any medical treatment my dependent needs while" involved in this activity and I agree to pay for it. understand that my child's picture might be taken as a part of this program to promote our program on fliers, brochures, organization website and marketing pamphlets. If this box is marked, I authorize release of my child's name and address to other community service groups for the purpose of promotion for their programs.