I, the parent of the registrant, a minor, agree that I and the registrant will abide by the rules of the MASA, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the MASA accepting the registrant for its soccer programs and activities (the "Programs"), I hereby release, discharge, and/or otherwise indemnify the MASA, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the programs and/or being transported to or from the games, which transportation I hereby authorize.

I certify that the named candidate is in good health and has no impairment or physical condition which would endanger his/her well being by participating in MASA activities.

I understand that MASA provides no medical or dental insurance for players, and I fully assume financial responsibility for such care. As the parent or legal guardian of the above named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve life, limb, or well-being of my dependent.

I will furnish a copy of a certificate of birth, if necessary, for the above named candidate which I understand will not be returned.

I understand that MASA is a volunteer-run organization and that I as the parent MUST volunteer at least two hours for each session registered. I also understand that when positions are full, MASA may make an alternate assignment.

I understand that the registration fee is non-refundable for any reason.

PHOTO RELEASE: I give permission for MASA to take photos of the above mentioned player for publicity purposes. I understand that said photos may be published in local newspapers, publications, etc. Parents who do not consent to the photo release portion of this waiver should send a note in writing to the Registrar.