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PLEASE FILL OUT THIS FORM COMPLETELY - Fields marked with a red asterisk (*) REQUIRE answers - Upon completion, you will receive a confirmation email/reciept.

In Consideration of my child being allowed to participate in any way for the Crossover Sports program for the 2025/2026 season, it's related events and activities, the undersigned of the aforementioned child, a minor, or the player acknowledges, appreciates, and agrees that:

1. Crossover Sports has the authority as agent for the undersigned to consent to any x-ray examination, anesthetic, medical, or surgical diagnosis, or treatment, and hospital care which is deemed advisable by, and to be rendered under the general or special supervision of any physician and surgeon licensed under the provisions of the Medical Practice Act whether such diagnosis is rendered.
2. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power of the part of our aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment, or hospital care which the aforementioned physician in the exercise of his best judgement may deem advisable.
3. I realize I must have my own medical insurance coverage and will be responsible for any medical or other charges in connections with my child’s participation in the program.
4. The risk of injury from the activities involved in this program is significant, including the potential risk for permanent paralysis and death, and while particular rules, equipment and personal disipline may reduce the risk, the risk of serious injury does exist.
5. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsilbity for my participation and the participation of my child; and I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe an unusual and significant hazard during my child's presence or participation, I will bring such to the attention of the nearsest leadership personnel immediately; and
6. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless Crossover Sports, and it's officers, officials, agents and/or volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, with respect to any and all injury, disability, death, or loss or demage to person or property, wheather arising from the negligence of the releases or otherwise, to the fullest extent by law.
7. If a child leaves a practice or game for any medical reason, he or she cannot return without medical clearance from a physician. At any time, a coach can require medical clearance of a player to be able to participate or play at his/her own discretion.
8. I also hereby consent, without further consideration or compensation, to use (full/partial) of all photos, audios or videos made of my child or family members during Crossover Sports events, for any purposes including events documentation, promotional materials, or web content. Further, I release Crossover Sports and its volunteers from any liability, which may arise from the use of those photos.
9. I, the undersigned parent/guardian(s) of the aforementioned child, a minor, or player myself give permission for my child named above to join and participate in all activities related to the Crossover Sports Program. 

I have read this release of liability and assumption of risk agreement. I fully understand its terms. I understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.