NOTE: This Statement should be acknowledged by the parent/guardian for minor player; an adult player for himself; coach for himself; and administrator for himself.  This release shall remain in effect for as long as the named remains with Upper Moreland Soccer Club.

I the parent/guardian of the registrant, a minor, or adult registrant of legal age, agree that I and the registrant will abide by the rules of Upper Moreland Soccer Club, EPYSA, its affiliated organizations and sponsors.  Recognizing the possibility if physical injury associated with soccer and in consideration for Upper Moreland Soccer Club accepting the registrant for its soccer programs and activities (the “Programs”), I hereby release, discharge and/or otherwise indemnify Upper Moreland Soccer Club, EPYSA, its affiliated organizations and sponsors, their officers, employees, and associated personnel, including the owners of fields and facilities utilized for the programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the Programs, and/or being transported to/or from the same, which transportation I hereby authorize.