Medical Release Agreement to Participate

I AUTHORIZE FLORIDA TRIPLE THREAT ALL-STARS, LLC. AND ITS REPRESENTATIVES TO CONSENT TO MEDICAL
TREATMENT FOR MY CHILD WHEN I CANNOT BE REACHED TO SO CONSENT. I ALSO GIVE FLORIDA TRIPLE THREAT ALLSTARS, LLC AND ITS REPRESENTATIVES CONSENT TO ADMINISTER THE NECESSARY EMERGENCY CARE TO STABILIZE AND/
OR IMPROVE THE CURRENT INJURY OR CONDITION THAT MY CHILD MAY HAVE SUSTAINED DURING ACTIVITIES RELATED
TO FLORIDA TRIPLE THREAT ALL-STARS, LLC INSTRUCTION, PRACTICES, OR PERFORMANCES. NO PRIOR DETERMINATION
OF LIFE-THREATENING EMERGENCY OR DANGER OF SERIOUS PERMANENT INJURY RESULTING FROM TREATMENT NEED
BE MADE UNDER THIS AUTHORIZATION.

 I AM FULLY AWARE THAT ANY ACTIVITY INVOLVING MOTION, HEIGHT, OR ATHLETIC ACTIVITIES CREATES THE
POSSIBILITY OF SERIOUS INJURY AND I FURTHER AGREE TO HOLD FLORIDA TRIPLE THREAT ALL-STARS, LLC AND ITS
STAFF, OFFICERS, OR REPRESENTATIVES HARMLESS FOR ANY INJURY OR RESULTING EXPENSE(S). I RELEASE AND
DISCHARGE ALL RIGHTS AND CLAIMS AGAINST FLORIDA TRIPLE THREAT ALL-STARS, LLC. AND ITS PARTIES. FLORIDA
TRIPLE THREAT ALL-STARS, LLC. STRIVES TO PROVIDE A MAXIMUM IN SAFETY PROCEDURES AND GUIDELINES, AND
CANNOT ASSUME RESPONSIBILITY FOR ANY ACCIDENTS, INJURY, OR ILLNESS THAT MAY OCCUR. FLORIDA TRIPLE
THREAT ALL-STARS, LLC. HIGHLY RECOMMENDS THAT ALL ATHLETES HAVE THEIR OWN HEALTH INSURANCE COVERAGE
TO HELP COVER THE COST OF ANY INJURY/ILLNESS.
 I AUTHORIZE FLORIDA TRIPLE THREAT ALL-STARS, LLC. TO USE PHOTOGRAPHS, VIDEO, AND OR OTHER LIKENESSES OF
MY CHILD FOR USE IN PROMOTIONAL MATERIALS OR SALES AND WAIVE ANY RIGHTS OF COMPENSATION OR OWNERSHIP
THERETO.

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