Waiver Form

I, the undersigned, the participant’s lawful custodial, or the parent of the participant, do herby agree to participate or allow my child to participate in the following program sponsored by the South Metro Youth Athletic Association. I will assume all risks and hazards incidental to the conduct of the program and will abide by the rules and regulations thereof. 
I acknowledge that accidental medical insurance is required to participate in the program or I have valid insurance covering the participant as delineated below. I know that participation in the youth football and cheerleading program may result in serious injuries, and protective equipment does not prevent all injuries to participants. I hereby give my permission to a South Metro Youth Football & Cheerleading Program representative to seek and obtain medical treatment for my child or myself in the event of an emergency occurs while my child is participating in this program. I further acknowledge and agree that for and in consideration of the use of such park and all facilities in connection with the program and further in consideration of my child’s participation in same, I, individually and on behalf of my child or myself, release and discharge, indemnify and hold harmless the current field, its successors, assigns, agents and employees of South Metro Youth Football & Cheerleading Program agents, and employees and any sponsors, supervisor or owner or any property or equipment used in the program from any and all liability, claims and causes of action of whatsoever kind and nature resulting from my child’s participation in the aforementioned program, including transportation to and from the program and program activities, so long as any injuries or damages are not the result of the willful or malicious failure to guard or warn against a dangerous condition, use, structure or activity or willful or wanton injury (provide that this limitation shall not apply against South Metro Youth Football & Cheerleading Program agents and employees, which together, reserve any and all immunity which they have). 
I also do hereby give my approval for my child to participate in any and all South Metro Youth Football & Cheerleading Program youth sports and extra-curricular activities, including transportation to and from the activities. 
Additionally, I hereby grant to South Metro Youth Football & Cheerleading Program agents, my absolute and unconditional permission to use, without charge, any and all photographs, video reproductions or other like kinds of imagery production taken during the event in which I or my likeness or image may appear as the subject matter for publicity or any other purpose. I understand that my name will be included with the photograph or other image. 
I certify that all information given is correct. I agree to all stipulations herein and to abide by the rules and regulations of the South Metro Youth Football & Cheerleading Program . by-laws (available upon request). I am the parent or legal guardian of the child that I have registered. 

Signature (Parent/Legal Guardian)_______________________________________ Date_______________