Program Participant Information

Waiver & Release of Liability

I understand that there are risks involved with my child’s participation in the Detroit City FC Youth Downriver programs.

I hereby authorize the directors of Detroit City FC Youth Downriver ("Detroit City FC Youth Downriver") to act for me according to their reasonable judgment in any emergency requiring medical attention. I hereby waive and release the directors of Detroit City FC Youth Downriver from all liability and agree to accept all medical expenses incurred. I know of no physical or mental problem that will affect my child’s ability to safely participate in these programs. I acknowledge and accept the conditions above with my signature below.

I certify that my child is in good health, and may participate in strenuous physical activities during the programs. I certify that there are no physical limitations to my child’s participation in the program. Permission is granted for my child to receive emergency medical treatment if needed. I hereby release and forever discharge Detroit City FC Youth Downriver and all their agents, employees and affiliated entities from any and all liability, claims, demands, and cause of action for personal injury or death, property damage, and/or other loss suffered by my child in connection with his/her participation in these programs. I acknowledge and accept that this Release and Waiver is intended to be binding on the family, estate, heirs, executors, administrators and assigns of the minor named above. I further acknowledge and accept that this Release and Waiver is intended to be as broad and inclusive as permitted by the laws of Michigan and agree that if any portion of this release and Waiver is invalid, the remainder will continue to be in full force and effect. I agree that this Release and Waiver binds the minor and me to all of its terms.

I hereby grant permission to Detroit City FC Youth Downriver and its legal representatives, assigns, and those acting on its behalf, to use any picture, video or audio recording of my child taken in connection with the programs for all manner of advertising, trade, promotion, exhibition, or any other lawful purpose related to youth soccer whatsoever and in any form or medium.

I hereby release the Detroit City FC Youth Downriver and the Michigan State Youth Soccer Association, its member leagues, teams, agents, officers, coaches and players from all liability or responsibility for any claim, damage or legal action on behalf of the player or the player’s parents, heirs, or personal representatives, arising from any injury the player may sustain while participating in soccer or related activities, including transportation, except to the extent and in the amount covered by the MSYSA accident reimbursement plan.