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I hereby acknowledge that health and accident coverage, at the expense of the participant, are required in all organized athletic activities and I also certify that my child is covered by health and accident insurance issued by _____________________ Insurance Company. In addition, I accept full responsibility for medical/hospital expenses and other related expenses not covered by the required insurance for injury received by the above name individual while participating in the athletic program. I understand that by allowing my child to participate, I am assuming all risk, and do hereby hold harmless the City of Moss Point Parks and Recreation Department, their agents and assignees, of responsibility for any such injury, illness, or expenses and waive any and all claims which may arise against them.
It is recommended that each child receive a physical examination and approval by a doctor before participation in the sports program. Such medical examination would be at the expense of the participant and the option of which medical doctor is chosen by the participant. Once a player is placed on a team, he/she will remain on the team until he/she becomes ineligible by age.
NOTICE………. The Parks and Recreation Department issues a NO REFUND Policy for Youth Sports.
My signature below attests that I have read, understand and agree with the terms and conditions and that I give consent for my child to participate in the athletic program designated above.
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