5ONFIVE BLACK BACK LOGO_edited.png
3 - HS Grade Fall
League Registration
arrow&v
arrow&v
Release & Liability Waiver

In the event of any emergency in which my child requires medical care, I authorize the staff of 5onfive, inc. to act for me and to obtain for my child whatever medical treatment the staff in its best judgment deems necessary and appropriate. I specifically consent to any X-ray examination, anesthetic medical or surgical diagnosis or treatment and hospital care deemed advisable by a licensed physician and surgeon and provided by that physician or under that physician’s supervisions, regardless of where the treatment is provided. I will be responsible for any medical or other charges in connection with my child’s attendance at the 5onfive Spring League (“League“).

I acknowledge that at the League my child will participate in a sport that may involve, among other things, physical contact of the body with other persons or objects, including contact with a hard surface and that at the League, my child may incur a serious injury. In consideration of my child being permitted to participate in the League and to use the program’s facilities and equipment, I agree to accept all risk to my child’s health and of my child’s injury or death that may result from such participation and I release the League and its’ program’s facilities, their governing board, members, officers, agents, employees, volunteers, and representatives from any and all liability to my child.

Thanks for your reservation!