Pirates Training

Selected Training *

Medical Waiver

PARENT/GUARDIAN APPROVAL AND MEDICAL RELEASE

 

Recognizing the possibility of injury or illness, and in consideration for the Panama City Beach Pirates and United Soccer League accepting my son/daughter as a player in the soccer programs and activities of Panama City Beach Pirates and its members (the “Programs”), I consent to my son/daughter participating in the Programs. Further, I release, discharge, and otherwise indemnify Panama City Beach Pirates, 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, which transportation I authorize.

 

My player son/daughter has received a physical examination by a physician and has been found physically capable of participating in the Programs. I give my consent to have an athletic trainer and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of each assistance and/or treatment.

Medical Release Agreement *
Powered byFormsiteReport abuse