Medical Release
Midlands Rec Tournament
Medical Release

I certify that I am the parent of the below named player and that my child is physically fit to participate in the Midlands Recreation Soccer Tournament. I also agree to hold the tournament harmless for any injuries my child may sustain.

PlayerParent's Signature
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The undersigned coach certifies that the above parent signatures are valid.

Team:_____________________________________________________
Coach:_____________________________________________________
Notarized by:_____________________________________________________
Date:_____________________________________________________