We understand that Worcester Team United (WTU) cannot assume responsibility for losses, damages or injuries which may occur as a result of participation in this program. We understand that the student athlete and/or parent is responsible for damage done to any WTU property and the cost of repair and/or replacement of that property. In addition to the terms laid out above, I also accept the responsibility of insuring that my children understand and accept these policies and objectives. To the best of my knowledge, my child is physically fit for participation in this sport, and is neither seeing a physician for any sports injury nor being treated with any medication that may affect his or her performance.   MEDICAL AUTHORIZATION AND RELEASE: We, guardian(s) for our child named in the form above do hereby release and hold harmless the directors, coaches, medical attendants, and adult leaders of the WTU Sports Program from any and all liability for all losses, damages or injuries occurring as a result of our child’s participation in the program’s activities. We further agree to make or cause to be made, by assignment of third party benefits or otherwise, full and complete payment for examination, treatment or hospital care required in the case of medical emergency. We understand that reasonable precautions will be taken to make the program safe and beneficial for all children, but that risk of injury cannot be eliminated entirely, and that this release is necessary for our child to participate in the WTU Sports Program. Furthermore, we hereby authorize, in the event our child suffers injury, any director, coach, medical attendant, or adult leader of the WTU Sports Program to consent to emergency medical treatment for our child when we cannot be contacted to so consent. Such medical treatment may include, without limitation, x-ray examination, anesthetic, medical diagnosis, treatment, or hospital care being required, and is given to provide authority and power on the part of a director or coach of the WTU Sports Program to give specific consent to any and all such examination, treatment, or surgical examination or treatment and general hospital care. No prior determination of life-threatening emergency or danger of serious or permanent injury resulting from delay of treatment need be made under this authorization. This authorization is given in advance of any specific hospital care.

Waiver/Release/Authorization to Use Likeness Names, Voice and Words: By submitting a membership application to WTU, the applicant authorizes WTU including without limitation, the Releases hereinabove, in perpetuity, without compensation, reservation, or limitation, to allow the reproduction, dissemination, and/or publication of the applicant’s name, nickname, image, voice, signature, facsimile, biological information, photograph, and/or likeness for media coverage, public relations, or any other purpose whatsoever, which may involve the use of photographs, films, and/or videotape recording and/or any other form of media, whether currently in existence or not, and understand that WTU retains title, exclusive and unlimited rights to all internet streaming files including live and archived games, interviews, and events broadcast to the Internet. WTU is under no obligation to exercise the rights herein granted. The applicant understands and agrees that he/she will not receive any payment for the possible commercial use of his/her name or likeness.