Permission: I am the parent or legal guardian of the above-named athlete. I acknowledge that my child is in good health. I give permission for my child to participate in any and all Pop Warner national, regional, league/conference, association, and team/squad activities, including transportation to and from activites. I give permission for, and assume any and all risk of my child's use of various playing surfaces including natural and artificial grass, cheer mats, hard dirt, and varying conditions, including dry, wet, and muddy, and i hereby understand that any surface may be regular or irregular.

Risk Information: I acknowledge the inherent risk and danger of participation in any sport and I understand that participation in football, cheerleading, and/or dance may result in BODILY INJURY, PARALYSIS, BRAIN INJURY, PERMANENT DISABILITY, AND/OR DEATH. I acknowledge the protective equipment does not prevent all participant injuries. I release, indemnify, hold harmless, and waive any claim against the coaches, local, league, and regional Pop Warner organization(s), Pop Warner Little Scholars, Inc., and any and all organizers, sponsors, supervisors, participants, and persons transporting my child to and from activities, for any injury to my child whether the result of negligence of for any other cause.