I certify that I am the parent or legal guardian of the player listed above (or at least eighteen (18) years old) and attest all of the information provided on this form is true and accurate. I hereby give consent for the above named player to participate in Yorktown FC Tryouts. I accept all risks associated with this participation. I recognize that minor to severe injuries can occur in soccer activities. I authorize Yorktown FC and its staff members to act for me in securing medical treatment in the event I am unreachable after an injury or emergency regarding my player.