SMYFFLWaiver
Parental Consent to Play & Waiver of Liability
I, the undersigned parent or legal guardian of the player registering do hereby consent and agree that the above-named Minor may participate in the SMYFFL, or any other sport sponsored by the Said association. It is agreed and understood that the Named association or its officers or sponsors will not Be held responsible or liable for injuries and/or further Loss as a result of such participation, including, but Not limited to, games, practices, travel and/or being A spectator. It is further agreed and understood that this consent shall remain in full force and effect until such time as the undersigned parent or legal guardian
Shall notify the SMYFFL all League In writing of the abrogation or cancellation of this
Consent. I understand and agree to abide by the Rules of the SMYFFL and to conduct myself in a manner consistent with the objectives of the league. Any misconduct, profanity, or other actions Detrimental to the spirit of good sportsmanship and Fair play can result in expulsion from the league and Park premises during the time of league play.
CONSENT TO MEDICAL TREATMENT
In the event my child is injured or becomes ill in Program activities, and if I, the parent or guardian of the above named Child, am not present to make medical decisions, I hereby authorize the SMYFFL, its staff, volunteers Including volunteer parent participants, coaches, assistant coaches, and referees, supervisors and drivers, to Arrange for and consent on my behalf to emergency medical and dental care and treatment, including tests and Radiological exams, and surgery, and hospital care and treatment, and to consent to medications for pain and Other conditions as prescribed by medical personnel attending my child. I am responsible for payment of any Medical charges or expenses not covered by my insurance or the insurance applicable to my child (if any). My signature below indicates that all information provided in this form is true and accurate, and that I fully agree to all statements made on the form, including but not limited to the Authorization and Release of Liability, Medical Conditions, and Consent to Medical Treatment. Each responsible parent/guardian should sign.
Signed:
I affirm that this form was signed by only one parent/guardian because (1) I am the sole parent/guardian
Responsible for the care and custody of the child due to death or incapacity of the other parent/guardian or
Court order, or (2) I have made a good faith effort to obtain the signature from the other parent/guardian butHave not been able to do so due to causes beyond my control, and I am not aware of any reason that the
Other parent/guardian objects to the child'sparticipation in the Program.
Signature:
Printed Name: Date:
NO Refunds after completion of registration unless if the league cancel the season.
____________________________________________DATE: ____________