DISCLAIMER
None of YSC, Nike, Inc., Rocket Sports, or their affiliates (including, without limitation, Striker Partners and FCB Escola), or such parties' respective officers directors, trustees, employees, agents or representatives (including, without limitation, coaches) (collectively, the "Released Parties"), are responsible for any loss of or damage to property, injury, or death suffered or incurred by any person while participating in, observing or otherwise being involved in the FCB Escola PA Soccer Camp.

PARENT/GUARDIAN AUTHORIZATIO
I verify that my child has been checked by a licensed physician prior to attending the YSC FCB Escola Soccer Camp and/or the FCB Escola Team Sessions (hereinafter FCB Escola Soccer Programs) and, except as indicated below, is able to participate fully. I agree to allow my child to be treated by a licensed trainer and/or physician while attending the Soccer Camp, and consent to any care deemed necessary or appropriate by such persons. I agree the Medical Insurance to cover the expenses of any injury related to participation in the Soccer Camp is my responsibility. I agree that I and my child will be bound by and comply with the rules, regulations and policies of YSC, Nike Inc. and Rocket Sports and to permit myself and my child to be disciplined under those rules and policies in the event of noncompliance, as determined by YSC, Nike Inc. and/or Rocket Sports in their sole discretion.

I understand that participation in athletic activities, by its nature, involves a risk of serious injury. By my signature below, I acknowledge that I fully realize the dangers of participating in such activities, and fully assume all risks associated with my and my child's participating in such activities. I, for myself, my child and each of our respective heirs, executors, administrators and assigns, hereby waive, release, acquit and forever discharge the Released Parties from any and all claims, rights, demands, actions, liabilities, obligations and causes of action arising out of or in connection with the Released Parties' negligence, in any way arising out of or relating to the FCB Escola Soccer Programs and/or the activities, services and facilities provided by the Released Parties, it being expressly agreed and understood that, by my signature below, I am giving the Released Parties a general release of any and all claims, present and future, that I and my child may have against the Released Parties or any of them. I further agree that I will not sue the Released Parties with respect to the Released Claims, and will indemnify the Released Parties from and against any claims, losses, liabilities, actions, damages, demands or expenses (including without limitation attorney's fees and court costs), arising out of or related to the Released Claims. I understand that the granting of the foregoing release, covenant not to sue and indemnity is an express condition to my child being permitted to attend and participate in the FCB Escola Soccer Programs.

I hereby grant to YSC, Nike, Inc. and their affiliates the worldwide rights in perpetuity, without approval or compensation, to use the participant's name, photographic or video image or likeness for advertising and promotional purposes.

If there are any medical, psychological or pharmacological conditions that would preclude this person from fully participating in all activities at the Soccer Camp please specify inhibiting condition(s) in the box below.