I am the parent or legal guardian of I declare that my child is in good health and free of any
medical problems that would affect his or her ability to participate in the Super Kickers' soccer program, summer camp, or mini camp, or other
I will ensure that my child wears shorts or sweatpants and soccer shoes or sneakers to class and brings a bottle of
water to each class. If my child wears corrective eyeglasses, I will ensure that he or she wears shatterproof
eyeglasses during class.
I understand and agree that I am responsible for the supervision of my child before, during and after classes, and
that I may designate coaches to take my child to the bathroom or change his or her diaper during class, if
I acknowledge that playing soccer and sports and participating in a soccer instruction, like all sports activities and instruction,
involves the risk of personal injury. On behalf of the parents, guardians and/or heirs of my child and my child
("we"), I hereby release, discharge and covenant not to sue Super Kickers Sport, Corp., its officers, directors,
coaches, managers, employees, volunteers, representatives, successors and assigns (each a "Release") from any
and all liability, loss, claims, demands, costs or expenses of any kind, under any state or federal law or legal theory,
including without limitation, negligence and personal injury, arising out of my child's participation in the Super
We agree not to bring or be part of any legal action or claim against the "Releases", and will indemnify and hold
each "Release" harmless from and against any claims, liability, fees, loss, damages, attorney fees or other legal
expenses arising in connection with such legal action or claim.