Futsal November 2018
As the parent or legal guardian of the child named above who is register to participate in the EPUERTO SPORTS Activities, I hereby acknowledge to the EPUERTO SPORTS that I am not aware of any medical or other reason why my child should not be allowed to participate in the EPUERTO SPORTS Activities.In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. I hereby release EPUERTO SPORTS and it’s coaches and anyone acting on behalf of the EPUERTO SPORTS Activities, from any and all liability for any injury or condition resulting from his/her participation in the EPUERTO SPORTS Activities.
Epuerto Sports / Boys & Girls Club members fee: $10
PLEASE CHECK ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND, AND AGREE TO ALL INFORMATION CONTAINED ON THIS FORM