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Tryout Waiver / Release Form

I DO HEREBY ACKNOWLEDGE THIS IS ONLY A TRYOUT AND DOES NOT CONSTITUTE
ANY COMMITMENT BY THE TEAM, LEAGUE, OR MYSELF.


PARENTAL AUTHORIZATION
1. I, PARENT OR GUARDIAN OF THE ABOVE NAMED CANDIDATE ARE FULLY AWARE
OF THE POTENTIAL RISK AND HAZARDS IN THIS PROGRAM CAN BE SIGNIFICANT.

 

2. I KNOWINGLY AND FREELY ASSUME ALL RESPONSIBILITY AND DO HEREBY
WAIVE, RELEASE, ABSOLVE, INDEMNIFY, AND AGREE TO HOLD HARMLESS THE SOUTH
COUNTY PINES FOOTBALL ORGANIZATION, TEAM, ORGANIZERS, SPONSORS,
SUPERVISORS, AND PARTICIPANTS.

 

3. I ALSO GRANT PERMISSION FOR THE MANAGING PERSONNEL OR OTHER LEAGUE
REPRESENTATIVES TO AUTHORIZE AND OBTAIN MEDICAL CARE FROM ANY LICENSED
PHYSICIAN, HOSPITAL, OR MEDICAL CLINIC SHOULD THE PARTICIPANT BECOME ILL OR
INJURED WHEN NEITHER PARENT IS AVAILABLE TO GRANT AUTHORIZATION FOR
EMERGENCY TREATMENT.

By clicking submit below you confirm that you have read the above terms and conditions and agree.
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