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I/We the undersigned have legal custody of the child mentioned above and have given consent for him/her to participate in the Torch Premier Soccer activities.
I/We understand there are inherent risks in any activity, and I/we hereby release BuxMont Torch Sport Ministry and its staff from any liability for any injury, loss or damage to person or property that may occur during the course of my/our child's involvement. In the event he/she is injured and requires the attention of a physician, I/we consent to any reasonable treatment deemed necessary by a licensed physician. I/We acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that treatment not be covered by the health insurance provider. Further, I/we affirm that the health and insurance information that I/we have provided is accurate. I also agree to bring my/our child home at my/our expense should they become ill or if deemed necessary by the Torch Premier Soccer staff.