| Please enroll the above individual.
I, the participant, understand and hereby accept
the condition that neither US SOCCER nor anyone
associated with the US SOCCER License Program, or
Host Organization will assume any responsibility
for injury to me and medical or dental expenses
incurred by me as a result of my participation in
this program. I certify that I am in good health
and able to participate in the physical activity of
a vigorous program. I understand that my
participation in the program's physical activities
is voluntary. I hereby release and hold harmless US
SOCCER and anyone associated with US SOCCER who is
involved with any of this program's activities from
liability for injuries occurred by me while
participating in the program. In the event of an
injury to me, I hereby grant my permission to US
SOCCER's affiliated organizers to obtain medical
care. |