I certify that my child is healthy enough to fully participate in basketball camp activities.

RELEASE OF LIABILITY: In consideration of my minor child/ward being allowed to participate in this soccer camp program, I, the undersigned, acknowledge, appreciate, and agree that: 1. The risk of serious injury from the soccer activities involved in this program is always present due to the nature of the sport; and 2. For myself, spouse, and child I knowingly and freely assume all such risks and medical costs associated my child’s participation; 3. I, for myself, and on behalf of my heirs, assigns, and next of kin, hereby release, indemnify, and hold harmless MVP Soccer Camp, its affiliates, officers, officials, agents and/or employees, other participants, sponsors, advertisers, and lessors of camp facilities, for injury, disability, death, or loss or damage to person or property resulting or arising from my child’s activities while attending MVP Soccer Camp.

HEALTH RELEASE: I hereby certify that the camper named in this application is in good health and fully able to participate in all activities of the soccer camp. Furthermore I give permission for this camper to receive emergency medical treatment if necessary. I understand that every attempt will be made to contact me, or the emergency contact named above, before taking this action. I will be financially responsible for any medical attention needed during camp or resulting from an injury received at camp. My medical insurance shall be the coverage for any medical treatment.

I agree that MVP Soccer Camp, has the right to photograph or video my dependent and use the photo and/or other digital reproduction of him/her or other reproduction of his/her physical likeness for publication processes, whether electronic, print, digital or electronic publishing via the Internet.

1. I, the undersigned, a participant in the production and videotaping/photographing/recording described below (or the parent, legal guardian, or person otherwise legally authorized to consent on behalf of such participant), hereby consent to the taking of any and all photographs, motion pictures, television and/or video tapes, digital video or image, voice recordings, and /or other recordings (collectively, “Recordings”) of my/his/her person at or relating to Hospital for Special Surgery (which includes any location at which it provides services as well as any office of any member of its medical staff) (collectively, the “Hospital”)) and/or any other location(s) as I and the Hospital agree during the course of my/his/her participation in (the “Production”) agree to the use of the Recordings and Production as follows: For any educational, training, contribution solicitation, marketing, publicity, promotional or other purpose, in any medium whatsoever, by the Hospital and/or by any person or persons the Hospital may name and /or for any broadcast or other public viewing. Such Recordings may be used as described above, in full or edited form, and may be incorporated into other recording or formats and may be copied for multiple distributions and/or broadcast. 2. I agree that I will receive no compensation or other remuneration for the taking, production, use, broadcast, and/or distribution of such Recordings or for my participation in any manner in such Production, and I specifically release the Hospital and all others from any liability or other obligation arising from the taking, production, use, broadcast, and/or distribution of such Recordings and from my participations in the Production. 3. I understand that I have the right to withdraw from participating in the Recordings at any time during the Production and that I have the right to revoke this consent at any time to the extent that the Hospital and/or its designee have not relied upon it, or has not submitted the Recordings and/or Production for use in external media. 4. I represent and warrant that I have all necessary rights and licenses relating to the uses consented to above for any photographs, videos and other recordings that I provide in connection with the Production.