THE PLAYER LISTED ABOVE, HAS PERMISSION TO PARTICIPATE IN THE SOUTH PHILLY SIGMA SHARKS, PROGRAM FOR THE 2023 FLAG FOOTBALL SEASON. I HEREBY AUTHORIZE THE COACH(S) ACCOMPANYING THE TEAM TO SEEK IMMEDIATE MEDICAL TREATMENT FOR THE PLAYER LISTED ABOVE, IF A MEDICAL EMERGENCY ARISES WHILE ON THE WAY TO, RETURNING FROM, OR DURING ANY PRACTICE, SCRIMMAGE OR GAME, IN WHICH THE TEAM PARTICIPATES. I FURTHER AUTHORIZE THE ATTENDING PHYSICIAN TO PERFORM ANY EMERGENCY TREATMENT NECESSARY, AFTER CONSULTATION WITH THE COACH, IF I CANNOT BE REACHED. THE PARENT/GUARDIAN, BY EXECUTING THIS REGISTRATION FORM AND ON BEHALF OF THE NAMED PARTICIPANT, REPRESENTS THAT THEY ARE UNAWARE OF ANY PHYSICAL OR MENTAL IMPEDIMENT THAT WOULD CAUSE INJURY OR HARM TO THE PARTICIPANT OR OTHERS BY SAID PARTICIPANT'S PARTICIPATION IN THE ACTIVITIES OF THE SOUTH PHILLY SIGMA SHARKS. DUE TO THE STRENUOUS NATURE OF SOME ACTIVITIES, THE PLAYER IS ENCOURAGED TO HAVE A PHYSICAL EXAM PRIOR TO REGISTRATION. SINCE ALL ACTIVITIES PRESENT CERTAIN INHERENT AND/OR IN ADVANCE RISKS AND HAZARDS, KNOWN AND ACKNOWLEDGED BY THE UNDERSIGNED, THEY, PARENT/GUARDIAN, BY THEIR EXECUTION HERE OF, APPROVE PARTICIPANT'S PARTICIPATION AND ASSUME ALL LIABILITY INCIDENT TO SAID MINOR'S PARTICIPATION. WE HEREBY AGREE TO SAID AND INDEMNITY AND KEEP HARMLESS THE SOUTH PHILLY SIGMA SHARKS, THEIR ATHLETIC STAFFS, AGENTS AND VOLUNTEERS AGAINST ANY LIABILITY, CLAIMS, OR DEMANDS FOR DAMAGES ARISING AS A RESULT OF INJURIES SUSTAINED BY THE PLAYER OR AS A RESULT OF PARTICIPATION IN THE SOUTH PHILLY SIGMA SHARK, UNLESS DUE TO WILFUL FAULT OR GROSS NEGLECT ON THE SOUTH PHILLY SIGMA SHARKS PART OF THE AFOREMENTIONED PARTIES.
WE, THE UNDERSIGNED, CERTIFY THAT ALL INFORMATION LISTED ABOVE IS CORRECT TO THE BEST OF OUR KNOWLEDGE. WE HEREBY AGREE TO ABIDE BY ALL RULES SET FORTH BY THE SOUTH PHILLY SIGMA SHARKS FLAG FOOTBALL PROGRAM
