Fall 2008 Academy Registration

The undersigned parent or legal guardian of the above named child recognizing that the sport of soccer does contain elements of risk and possible injury does hereby consent to and give approval for the above child to participate in any and all academy activities during the current seasonal year . I assume all risks and hazards incidental to such participation in any and all academy activities during the current seasonal year including but not limited to transportation to and from activities. I do hereby waive, release, absolve, indemnify, and agree to hold harmless SMSL, its officers, board of directors, coaches, assistant coaches and any person acting by or on behalf of SMSL for any claim arising out of or in any way connected with injury the child may receive while participating in SMSL activities. I also grant permission for persons associated with SMSL to authorize and obtain medical care from any licensed physician, hospital, or medical clinic should the child become ill or injured while participating in SMSL activities away from home or at any other time when neither parent or guardian is available to grant authorization for medical treatment.

Player's First Name:
Last Name:
Birth Date:	(mm/dd/yyyy)
Street Address:
City:
Home Phone:
Email Address:
Academy Class:	5 & 6 years 7 & 8 years
T-shirt Size:	(YS, YM, YL)

Parental Authorization/Release of Liability The undersigned parent or legal guardian of the above named child recognizing that the sport of soccer does contain elements of risk and possible injury does hereby consent to and give approval for the above child to participate in any and all academy activities during the current seasonal year . I assume all risks and hazards incidental to such participation in any and all academy activities during the current seasonal year including but not limited to transportation to and from activities. I do hereby waive, release, absolve, indemnify, and agree to hold harmless SMSL, its officers, board of directors, coaches, assistant coaches and any person acting by or on behalf of SMSL for any claim arising out of or in any way connected with injury the child may receive while participating in SMSL activities. I also grant permission for persons associated with SMSL to authorize and obtain medical care from any licensed physician, hospital, or medical clinic should the child become ill or injured while participating in SMSL activities away from home or at any other time when neither parent or guardian is available to grant authorization for medical treatment.
Signature:	Date: