I hereby certify that I am over the age of eighteen years and understand the nature and scope of the risks and dangers associated with playing the game of soccer. I understand that it is not the function of the United States Soccer Federation (USSF) and its affiliates, or the Skyline Club Soccer League (SCSL) to guarantee the safety of participants in the game. I further understand that each individual participant bears full responsibility to exercise due care in the performance of this activity for the safety of him/herself and other participants.

IN CONSIDERATION of being permitted to play, I hereby RELEASE AND HOLD HARMLESS USSF, SCSL, their affiliates, employees, contracted agents, operators, instructors and volunteers of and from any and all claims, demands, costs, charges and expenses for any harm, injury, damage or loss of property which may be sustained by me or my child as a result of or relating to our participation in the game of soccer.

In the event of injury or illness to the above SCSL participant(s), I hereby grant authority to any physician to render such emergency medical treatment as the physician deems necessary under the circumstances. I authorize emergency transportation as necessary. I agree to be responsible for any charges incurred in my treatment or the treatment of my child. Further, I agree to indemnify and hold harmless SCSL, or any coach, player, or other person engaged in this program from any liability for injuries sustained by the above registered SCSL participant(s).
Furthermore, during the course of SCSL programs, photographs are occasionally taken. Through this release, I authorize SCSL to print, publish, and display pictures of me or my child to promote SCSL programs through SCSL publications and the SCSL website.

I have read and understand the foregoing disclaimer and release and recognize that, by my registration hereto, I am giving up certain substantial rights. I knowingly assume the risk associated with my or my child's participation in soccer.