Parental Consent and Medical Waiver
I hereby grant permission for my child to participate in MVSC/Rick Fullerton's Soccer Camps. I relieve and do not hold liable MVSC, or its employees for claims from any damage or injuries received while my child participates in MVSC/Rick Fullerton Summer Camps. In the event that I cannot be reached in emergency, I hereby consent to any examination, x-ray, medication, anesthetic, medical and surgical treatment that may be rendered, based on the recommendation of the nearest physician and medical facility.
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Child or Player Name (print name)
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Parent/Guardian (print name)
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Parent/Guardian (signature)
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Date
PLEASE PRINT THIS FORM, SIGN IT, AND BRING IT TO THE FIRST DAY OF CAMP.
IT IS FOR OUR CHILDREN'S SAFETY. THANK YOU.