Parent/Guardian Consent and Medical Release
Recognizing the possibility of injury or illness, and in consideration of US Youth Soccer and member of US Youth Soccer accepting my son/daughter as a player in the soccer programs and activities of the US Youth Soccer and its members (the "Programs"), I consent to my son/daughter participating in the Programs, Further, I herby release, discharge, and otherwise indemnify US Youth Soccer, its member organizations and sponsors, their employees, associated personnel, and volunteers, including the owner of fields and facilities utilized for the Programs, against any claim by or on behalf of my player son/daughter as a result of my son's/daughter’s participation in the Programs and/or being transported to or from the Programs. I hereby authorize the transportation of my son/daughter to or from the Programs.
My son/daughter as received a physical examination by a licensed medical doctor and has been found physically capable of participating in the sport of soccer. I have provided written notice, which is submitted in conjunction with this release and attached hereto; setting forth any specific issue, condition, or ailment, in additional to what is specified above, that my child has or that may impact my child's participation in the Programs. I give my consent to have an athletic trainer and/or licensed medical doctor or dentist provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the reasonable cost of any such assistance and/or treatment.