Common use of CONSENT FOR EMERGENCY MEDICAL TREATMENT Clause in Contracts

CONSENT FOR EMERGENCY MEDICAL TREATMENT. We, the Parents of , give permission for emergency medical treatment of our child for illness or accident if we cannot first be contacted. Emergency Parent or Guardian: Name: Phone: Office: Mobile: Email: Emergency Secondary Contact: (other than parent) Name: Phone: Office: Mobile: Email: Relationship: Does your child have any allergies or require special medication: Yes: No: Explanation: Signature (Parent/Guardian) Date Hold Harmless Statement WE HEREBY AGREE THAT THE SOCCER ASSOCIATION FOR YOUTH (SAY) ITS MEMBERS, COACHES OR OFFICERS SHALL NOT BE LIABLE FOR ANY INJURY OR LOSS IN WHICH MY CHILD MAY SUSTAIN WHILE PARTICIPATING IN ACTIVITIES OF ANY KIND WHETHER SPONSORED BY OR UNDER THE SUPERVISION OF SAY AND WE AGREE TO IDEMNIFY AND TO HOLD HARMLESS SAY, IT’S MEMBERS, COACHES AND OFFICERS OR DESIGNATES OF ANY KIND FROM ANY CLAIM WHATSOEVER. Signature (Parent/Guardian) Date This statement CANNOT be altered to include your District, SAYArea, SAY Organization, City, etc. If you need an additional statement that includes any other entity, then simply add another statement beneath this statement on your player registration form, electronic registration form, etc. Our insurance carrier dictates this.

CONSENT FOR EMERGENCY MEDICAL TREATMENT. We, the Parents of , give permission for emergency medical treatment of our child for illness or accident if we cannot first be contacted. Emergency Parent or Guardian: Name: Phone: Office: Mobile: Email: Emergency Secondary Contact: (other than parent) Name: Phone: Office: Mobile: Email: Relationship: Does your child have any allergies or require special medication: Yes: No: Explanation: _____________________________________________ ________________________________________ Signature (Parent/Guardian) Date Hold Harmless Statement WE HEREBY AGREE THAT THE SOCCER ASSOCIATION FOR YOUTH (SAY) ITS MEMBERS, COACHES OR OFFICERS SHALL NOT BE LIABLE FOR ANY INJURY OR LOSS IN WHICH MY CHILD MAY SUSTAIN WHILE PARTICIPATING IN ACTIVITIES OF ANY KIND WHETHER SPONSORED BY OR UNDER THE SUPERVISION OF SAY AND WE AGREE TO IDEMNIFY AND TO HOLD HARMLESS SAY, IT’S MEMBERS, COACHES AND OFFICERS OR DESIGNATES OF ANY KIND FROM ANY CLAIM WHATSOEVER. _____________________________________________ ________________________________________ Signature (Parent/Guardian) Date This statement CANNOT be altered to include your District, SAYArea, SAY Organization, City, etc. If you need an additional statement that includes any other entity, then simply add another statement beneath this statement on your player registration form, electronic registration form, etc. Our insurance carrier dictates this.

CONSENT FOR EMERGENCY MEDICAL TREATMENT. We, the Parents of , give permission for emergency medical treatment of our child for illness or accident if we cannot first be contacted. Emergency Parent or Guardian: Name: Phone: Office: Mobile: Email: Emergency Secondary Contact: (other than parent) Name: Phone: Office: Mobile: Email: Relationship: Does your child have any allergies or require special medication: Yes: No: Explanation: _ Signature (Parent/Guardian) Date Hold Harmless Statement WE HEREBY AGREE THAT THE SOCCER ASSOCIATION FOR YOUTH (SAY) ITS MEMBERS, COACHES OR OFFICERS SHALL NOT BE LIABLE FOR ANY INJURY OR LOSS IN WHICH MY CHILD MAY SUSTAIN WHILE PARTICIPATING IN ACTIVITIES OF ANY KIND WHETHER SPONSORED BY OR UNDER THE SUPERVISION OF SAY AND WE AGREE TO IDEMNIFY AND TO HOLD HARMLESS SAY, IT’S MEMBERS, COACHES AND OFFICERS OR DESIGNATES OF ANY KIND FROM ANY CLAIM WHATSOEVER. _ Signature (Parent/Guardian) Date This statement CANNOT be altered to include your District, SAYArea, SAY Organization, City, etc. If you need an additional statement that includes any other entity, then simply add another statement beneath this statement on your player registration form, electronic registration form, etc. Our insurance carrier dictates this.

CONSENT FOR EMERGENCY MEDICAL TREATMENT. We, the Parents of , give permission for emergency medical treatment of our child for illness or accident if we cannot first be contacted. Emergency Parent or Guardian: Name: Phone: Office: Mobile: Email: Emergency Secondary Contact: (other than parent) Name: Phone: Office: Mobile: Email: Relationship: Does your child have any allergies or require special medication: Yes: No: Explanation: Signature (Parent/Guardian) Date Hold Harmless Statement WE HEREBY AGREE THAT THE SOCCER ASSOCIATION FOR YOUTH (SAY) ITS MEMBERS, COACHES OR OFFICERS SHALL NOT BE LIABLE FOR ANY INJURY OR LOSS IN WHICH MY CHILD MAY SUSTAIN WHILE PARTICIPATING IN ACTIVITIES OF ANY KIND WHETHER SPONSORED BY OR UNDER THE SUPERVISION OF SAY AND WE AGREE TO IDEMNIFY AND TO HOLD HARMLESS SAY, IT’S MEMBERS, COACHES AND OFFICERS 6$< $1' :( $*5(( 72 ,'(01,)< $1' 72 +2/' +$50/(66 6$< ,7¶ OR DESIGNATES OF ANY KIND FROM ANY CLAIM WHATSOEVER. Signature (Parent/Guardian) Date This statement CANNOT be altered to include your District, SAYArea, SAY Organization, City, etc. If you need an additional statement that includes any other entity, then simply add another statement beneath this statement on your player registration form, electronic registration form, etc. Our insurance carrier dictates this.