Parents must sign below prior to child’s participation in the 2021 Pipech Elite Winter Goalkeeper Training. I hereby certify that the applicant is in good physical condition to participate in the 2021 Pipech Elite Winter Goalkeeper Training. If medical assistance is required for illness or injury while attending the camp, I give permission for such care and I certify I have medical insurance, and that the applicant is covered by our family medical insurance. Robert (Bob) Pipech, his associates, Forks Township, Northampton County, are all NOT responsible legally or financially in any manner, and will not provide any payment or have any responsibility for any medical, dental, hospital, transportation, or laboratory fees due to injury incurred while participating in the 2021 Pipech Winter Goalkeeper Training. I hereby release Bob Pipech and his staff of any and all liability from any type of injury as a result of this training. -------------------------------------------------------------------------------------------------------------------------------For your electronic signature, please type your #FullName#. For example, John Smith would type #John Smith# *