The player registrant named above has my permission to participate in the Hempfield Soccer Club, Penn Legacy and/or Seamus Donnelly's Camp programs. In consideration of your acceptance of my enrollment, I, the player and we, the parents/guardians, individually and collectively, intending to be legally bound, hereby for ourselves and our heirs, executors and administrators waive and release the Hempfield Soccer Club, Penn Legacy, Seamus Donnelly's Camps and facility owners, their agents and representatives, from any and all claims or rights to damages for injuries or losses suffered by me the player, directly or indirectly, in training for, or traveling to and from, or competing in or while attending any future Hempfield Soccer Club, Penn Legacy or Seamus Donnelly's Camps functions. I acknowledge that the registration and or registration fee does not include accident insurance coverage. I consent for medical treatment for my child in the event of an emergency.
EPYSA RELEASE STATEMENT
I, the parent/guardian of the registrant, a minor or adult registrant of legal age, agree that I and the registrant will abide by the rules of EPYSA and the Hempfield Soccer Club, Penn Legacy, Seamus Donnelly's Camps, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer, and in consideration for the EPYSA and Hempfield Soccer Club, Penn Legacy and or Seamus Donnelly's Camps accepting the registrant for its soccer programs and activities (the “Programs”). I hereby release, discharge and/or otherwise indemnify the EPYSA, and Hempfield Soccer Club, Penn Legacy, Seamus Donnelly's Camps and its affiliated organizations and sponsors, their employees and associated personnel, including owners of fields or facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrants participation in the Programs, and/or being transported to or from the same which transportation I hereby authorize.
Penn Legacy/EPSYA Policy on Concussion Procedure and Protocol:
Go to this site and read the concussion fact sheet for parents/guardians: