Avon, Connecticut

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Release of Liability and Consent for Medical Treatment

To:     Avon Memorial Day Tournament May 27 and 28, 2023 Subject:  General release of liability and indemnification and consent for emergency medical aid and treatment

Team Name:____________________  Town:______________  Division:______________

I, the parent or guardian of the above named participant in the Avon Memorial Day Tournament, hereby gives approval to
his/her participation in such tournament and associated activities during May 27 and 28, 2023.  I also assume all risks
and hazards incidental to such participation including, but not limited to, transportation to and from the activity.  I do
further waive, release, absolve, indemnify, and agree to hold harmless the Avon Soccer Club, its organizers,
sponsors, supervisor, participants, volunteers, and members, agents, servants, or employees, for any injury, claim, loss
arising from or at said tournament.  I further understand that I am solely responsible for the entry fee into said tournament.
This release is signed and provided in consideration for our child being allowed to participate in said tournament.  I
hereby give permission for any and all medical attention necessary to be administered to my child.  In the event of an
injury, sickness, etc., until such time as I may be contacted, I assume all financial responsibility for any expenses incurred.


Player’s Name

Parent’s Signature

Telephone Numbers