WAIVER AND RELEASE OF ALL CLAIMS

Please read this form carefully and be aware that by checking this box and participating, you will be waiving and releasing all claims for injuries you or your child may sustain out of this program.

I, parent or guardian of the above named child, hereby give approval and permission for participation in any and all Connecticut ATTACK sports program activities. I hereby grant permission to managing personnel or other Connecticut ATTACK representatives to authorize and obtain medical care from any licensed physician, hospital or medical clinic should the player become ill or injured while participating in program activities when neither parent nor legal guardian is available to grant such authorization for emergency treatment. I assume all risks and hazards incidental to such participation, and do hereby waive, release, absolve, indemnify and agree to hold harmless Connecticut ATTACK, sponsors, supervisors, and participants for any claim arising out of injury to the player. I/We, parent or guardian of the above named player, do hereby give my/our approval for his/her participation in all Connecticut ATTACK activities. I understand that Connecticut ATTACK may use photographs and video taken during activities to promote its youth sports program. I have read and fully understand the above program details and waive and release all claims.