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HURRICANES YOUTH FOOTBALL CLUB INC.

HURRICANES YOUTH FOOTBALL CLUB INC.

Parental/Guardian Permission and Medical


Parent / Guardian Permission:
  I the parent/guardian of the above named participant hereby give my approval for participation in any and all of the activities of the Hurricanes Youth Football Club Inc. during the season.  I assume all risks and hazards, incidental to the conduct of any of the activities, including transportation to and from such activities.  I do further release, absolve, indemnify and hold harmless the Hurricanes Youth Football Club Inc., its organizers, sponsors, director’s, coaches, and any or all of them, in the case of injury to my child.  I hereby waive all claims against the organizers, sponsors, directors and coaches appointed by Hurricanes Youth Football Club Inc. under the guidance of New Jersey statue N.J.SA. - 2A:62A-6., as long as the actions of said officials and coaches are not willful, wanton, or grossly negligent. I likewise waive, to the extent not covered by liability insurance, any claim against any person transporting my child to and from the activities.

Emergency Medical Authorization:  I the parent/guardian of the above named participant, hereby give my authorization for any emergency medical treatment of the participant for any injury resulting from any activity of the Hurricanes Youth Football Club Inc. including transportation to or from such activity.  It is understood that efforts shall be made to contact the undersigned prior to rendering treatment to the injured participant.  This authorization will expire on the date of the last scheduled Hurricanes Youth Football Club Inc. event or no later than 12/31/18 which ever dates arrives first.

Contact

HURRICANES YOUTH FOOTBALL CLUB INC.
Hurricanes Youth Football Club Inc., P.O. Box 172
Lumberton, New Jersey 08048

Email: [email protected]

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