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Medical Release

As team representative, I understand that soccer demands a high level of strenuous physical activity and certify with my signature that all players have no physical, mental or emotional problems which could deter or hinder her/his/their ability to participate in any soccer related activities and hereby release JA Elite Soccer Academy and its employees from any liability stemming from an injury sustained during such participation. I certify that all players on my team are covered by medical insurance and grant permission to JA Elite Soccer Academy and/or its employees to order medical assistance during emergencies at their discretion. JA Elite Soccer Academy will be reimbursed for any expenses accrued by such medical assistance by my Insurance and indemnified by myself for any expenses not reimbursed by such insurance. In consideration of our participation in these activities, I, for myself, team, spouse, heirs, personal representatives, estate or assigns, agree to defend, hold harmless, indemnify and release the JA Elite Soccer Academy, employees, agents, volunteers, and all others who are involved, from and against any and all claims, demands, actions, or causes of action of any sort on account of damage to personal property, or personal injury, or death which may result from my participation in the above-listed program.

Media Release

I understand and give permission that all photographs and/or videos taken of the applicant during this event is the property of JA Elite Soccer Academy and may be used along with my team name in league videos, broadcasts, publications and/or promotional media. I give permission to be added to the JA Elite Soccer Academy mailing list for updates on future program ads, news and announcements.

Thanks for submitting!

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