I warrant that I possess all the rights, powers, and privileges of a parent or legal guardian necessary to execute this document with binding legal effect.

As the parent or legal guardian of the student listed below, I certify and affirm that I have been completely and thoroughly informed that the student listed below is participating in CHY sports (a youth sports program put on by Champion Youth of Life Changers International Church. CHY sports takes place at Life Changers International located at 2500 Beverly Rd. in Hoffman Estates, IL. CHY sports is a Saturday morning competitive sports hang-out program. CHY sports will have a competitive play of sports including Basketball, Volleyball, Softball, Soccer, and Dodgeball.

I affirm and understand that my child will participate in certain activities which carry with them a degree of risk for potential injury. I consent to my child's participation in these activities. I acknowledge and understand that this PARENTAL AUTHORIZATION, CONSENT, AND RELEASE has the same force and effect regardless of whether the activities engaged in are free or if a fee is charged.  
In cases of emergency, I further consent to the examination or treatment of my child by a physician duly licensed to practice medicine by any State, Country, Commonwealth, or Territory which is authorized to license persons to practice medicine or any health care professional duly licensed to provide health care services by any State, Country, Commonwealth or Territory which is authorized to license persons to provide health care services for medical care and services deemed necessary by the health care professional, Life Changers Church, its agents, servants, and employees. I give permission to the health care professional to provide any and all medical care they deem, in their professional opinion, to be necessary, and I agree to pay for any and all medical expenses incurred as a result of the use of this consent.  Furthermore, I agree to indemnify and hold Life Changers International Church harmless from any and all damages and injuries of any kind that my child may sustain as a result of medical care provided.

By digitally signing this document, I acknowledge that I may be found by a court of law to have waived my right to maintain a lawsuit against Life Changers International Church on the basis of any claim from which I have released them herein. I have fully informed myself of the contents of this PARENTAL AUTHORIZATION, CONSENT, AND RELEASE by reading it before I signed it.