Permission to Play

Player’s name: __________________________ has my permission to participate in all activities of the Roanoke Valley Youth Soccer Club, Inc. (hereinafter referred to as the “Club”) including, but not limited to, participation in the Blue Ridge Classic League, Virginia Clubs Champions League, US Club Soccer Association, Central Virginia Girl’s Soccer League, Richmond Metro Youth Soccer League, Club-approved tournaments, State Cup play, and Club-approved or conducted camps, clinics, or tryouts.

The Club, its officers, directors, and coaches shall be held harmless from any liability for injury or illness that the above named child may sustain as a participant in any Club-sponsored or approved activity or event. Permission is hereby given to provide or administer emergency medical treatment to the above named child in the event he or she sustains any such injury or illness.

It is also agreed that said child shall abide by all Club bylaws, policies, or regulations relating to his or her participating in Club-sponsored or approved activities or events.

Parent/Guardian Signature X ______________________________________________

Date: _______________________________