Manvel Texans 2022 Registration

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Participant Information: 

Parent or Guardian Information: 

Miscellaneous Information: 

Parental Medical Treatment Authorization/Parents Statement 

In the event of injury or illness to my child, I hereby grant authorization for emergency medical care prescribed by a duly licensed Doctor of Medicine or a Doctor of Dentistry. This emergency care may be given under any conditions, which  are  necessary  to  preserve the life or well being of my child/dependent. 

I, the parent/legal guardian of the above named child, hereby give my permission for him/her to participate in any and all football/cheer-related activities during the current season. I am aware that football/cheer could result in some-contact and requires strenuous, physical activities. I assume all risks of hazards incidental to such activities. I hereby WAIVE, RELEASE, ABSOLVE, INDEMNIFY, AND AGREE TO HOLD HARMLESS The Manvel Texans Organization, it’s respective organizers, sponsors, coaches, representatives, supervisors, from any and all claims arising out of his/her participation in or being transported to or from the same, whether the result of negligence, or any other cause, except to the extent and amount that may be covered by accident or liability insurance. 

Type your name in the signature line and date if you agree to the above statement.

Parent/Guardian Signature: ____________________________________ Date: ________________________ 

Medical Accident Coverage  

I have been informed and am aware that The Manvel Texans Organization has in place an insurance policy to provide insurance against medical and hospitalization costs only which are incurred as the result of injuries sustained by my child while engaging in Football or Cheer activities. I understand that this coverage is secondary only to coverage beyond the benefits associated with medical and hospitalization expenses. I understand that The Manvel Texans Organization carries no medical liability and that The Manvel Texans Organization is not responsible for reimbursement of claims. 

Type your name in the signature line and date if you agree to the above statement.

Parent/Guardian Signature: ______________________________________ Date: ________________________

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