1. I give permission for my child to participate in the Lawrence Travel Soccer Program sponsored by Beyond Soccer. I also authorize my child to participate in Beyond Soccer's off the field programs, including its related health and wellness programs (Health Kicks! – i.e. speed and agility workouts, cooking courses), winter-indoor “Futsal and Fitness”, leadership programs, academic mentoring assistance and special group outings (i.e. leadership conferences, community service events, pasta parties, after-school tutoring, professional sporting events).

2. This registration form covers the period of August 27th – December 30th 2019. Separate permission forms will be required for special summer camps.

3. I hereby certify that my child is in normal health and capable of safe participation in youth sports programs. I understand and waive related liability claims for myself and/or my child and assume all customary risks and hazards incidental to the reasonable operation and conduct of this program and for the necessary transportation to and from the program, when and if provided for by Beyond Soccer staff or transportation contractors.

4. I hereby authorize Beyond Soccer to obtain medical treatment for my child if I (parent/guardian), or my child's emergency contact, cannot be reached. This authorization, intended for emergency use only, and includes the authority to consent to any x-ray examinations, anesthetic, medical procedure or treatment, and hospital care under the supervision, and upon the advice of or to be rendered by, a licensed physician, nurse, or dentist for my child.

5. I hereby give my consent for Beyond Soccer to use my child’s photograph and likeness in its publications (newsletter), including its website www.beyondsoccerlawrence.org, Facebook, Instagram, and Twitter page. I release Beyond Soccer from any claim of violating privacy or confidentiality rights that I could assert for the above minor child and myself and attest that I am the parent or legal guardian of the child listed above.