MEDICAL TREATMENT AUTHORIZATION AND LIABILITY WAIVER

I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize soccer is a physically demanding, contact sport which requires the athlete to possess coordination, stamina and a basic physical fitness. I also recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify Warrior Soccer Training, its owners, their sponsors, and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above as a result of that player’s participation in Warrior Soccer Training clinics and/or programs and/or being transported to or from the same, which transportation I hereby authorize. By signing this agreement I am assuming the risk of possible injury and I know, or reasonably should know and understand these risks and voluntarily choose encounter such risk.

PHOTO RELEASE FORM

I hereby grant Warrior Soccer Training the absolute right to reproduce, display and disseminate worldwide and in perpetuity, in any traditional or electronic media format, my likeness as shown in the photographs/films captured at this time for the purposes given above.