Youth Soccer Tournament Waiver Form

Participant Information

Participant Name Date of Birth Team Name

Parent/Guardian Information

Parent/Guardian Name Phone Number Email Address

Emergency Contact

Emergency Contact Name Emergency Contact Phone Relationship to Participant

Medical Information

Allergies or Conditions Current Medications Physician Name Physician Phone

Waiver & Release of Liability

I, the undersigned parent/guardian, give permission for the above-named participant to participate in the Youth Soccer Tournament. I acknowledge and accept the risks involved with participation in athletic activities. I hereby release and discharge the event organizers, sponsors, and staff from any and all liability, claims, and causes of action arising from injury or illness incurred during the event.

I have read and agree to the liability waiver above.

Signature

Parent/Guardian Signature Date