I certify that the indicated participant(s) is/are in good physical and mental health and has/have never been declared medically ineligible for athletic competition. I further certify that the above mentioned participant(s) has/have had no previous pre-existing medical condition or injury, unless listed as, but not limited to exercise induced asthma, cardio or pulmonary (lung) disease, abnormal organ deficiencies, and head or neck injuries which may limit playing abilities. I understand that participation in the flag football league activities requires an acceptance of risk. By selecting yes, I hereby release and hold harmless the sponsors, promoter, the City of San Jose and all other persons and entities associated with United Sports, Show You Right Zone, and Loyal To The Game and events from any and all injury by the participant(s) indicated. Furthermore, I hereby grant full permission for all the foregoing to transport the above participant(s) upon request; and to use the above participant(s) photograph in video tapes, publications, motion pictures, recordings, or other records of events. I understand that the most reasonable care will be provided to the above participant(s) in the event of injury or illness during any flag football sponsored activity and authorize emergency medical care should it be needed. I have read and fully understand the foregoing and certify and represent that, as parent/guardian/ participant for the above person(s)all registration and release information provided is true.  I hereby represent that I have authority to bind and accept on behalf of all parent/guardians of the above participant(s).