PARENT CONSENT, WAIVER AND RELEASE

D1 Football
P.O. Box 20
Chardon, Ohio  44024

Date of Event: _________________

Location of Event : ____________________________________________


In consideration of the ULTIMATE FOOTBALL COMBINE acceptance of

(Please print your child’s full name)___________________________________

As a athlete for the event mentioned above, and in return for the opportunity toparticipate in this combine: It is agreed that all risks attendant to watching and/or participating in combine activities, including, but not limited to bodily injury, are assumed by the athlete and his parents and/or legal guardian and that this assumption is acknowledged, approved, and agreed to by said athlete and his parents and/or legal guardian as indicated by the signature hereto. D1 Football will be financially responsible for and has insurance that will cover most injuries/accidents occurring during combine, but only as secondary coverage after parents/guardians insurance has paid. I hereby certify that the above named athlete is physically able to participate in The ULTIMATE FOOTBALL COMBINE event and that I know of no physical impairments which would in any manner limit his/her participation in such a program. I hereby grant permission for physicians, dentists, other licensed health care providers and their designees employed by D1 Football to administer outpatient medical, surgical, or dental services as appropriate, or necessary antigens or other injections, to perform emergency procedures as necessary or to refer to duly licensed medical personnel when indicated. In consideration for honoring my child's request to participate in the above activity, I, for myself, my executors, administrators, and assigns, do hereby release and forever discharge D1 Football, and The ULTIMATE FOOTBALL COMBINE its respective entities, administrators, employees, agents, from any claims that I might have myself or could bring on my child's behalf with regard to damages, demands, or any actions whatsoever, including those based on negligence or failure to supervise, in any manner arising out of my child's participation in this activity. I recognize that this Release means that I am giving up, among other things, rights to sue D1 Football, its respective entities, administrators, employees, and/or agents, for injuries, or damages or losses that my child may incur. I authorize (UFC) to use any photographs, results or articles about my child for publicity purposes or otherwise.  


_____________________________________
Please Print Parent or Legal Guardian Name

_____________________________________
Parent or Legal Guardian Signature

_____________________________________
Date