MEDICAL WAIVER RELEASE AND PHOTOS/VIDEOS PERMISSION RELEASE FOR ALL PARTICIPANTS
Denison Cabral Futsal Academy, Elite program, Academy programs, Camps & Clinics
PARTICIPANT WAIVER & RELEASE

Event: DCFA FREE Futsal Clinic November 21st, 2022.

In consideration of my participation in Denison Cabral Futsal Academy sponsored events and activities, I agree to the following:
Waiver and Release: I am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses, associated with participation in a soccer/futsal event and related sports conditioning activities. I further agree on behalf of myself, my heirs, and personal representatives, that Denison Cabral Futsal Academy Corp., along with Benfield SportsCenter facility, shall not be liable for any injury, loss of life or other loss or damage occurring because of my participation in the event.
Medical Attention: I hereby give my consent to Denison Cabral Futsal Academy Corp. to provide, through a medical staff of its choice, customary medical/athletic training attention, transportation, and emergency medical services as warranted during my participation in Denison Cabral Futsal Academy Corp. sponsored or sanctioned events.
Readiness to Compete: I will only participate in those competitions or activities in which I believe l am physically and psychologically prepared to participate.

Medical Release and Authorization
As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the Denison Cabral Futsal Academy Corp. and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.