Informed Consent and Acknowledgement
I hereby give my approval for my child’s/ward’s participation in any and all activities during the football festival. In exchange for the acceptance of said child’s/ward’s participation, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Mubadala, Al Jazira Club, ProActive Consultancy Services LLC and all its respective employees, agents, and representatives from any and all liability for injuries to said child/ward arising out of traveling to, participating in, or returning from the festival.
In case of injury to said child/ward, I hereby waive all claims against all parties including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization
As Parent and/or Guardian of the named participant, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child/ward, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to ProActive Consultancy Services LLC and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Media Release
I hereby represent that I am the exclusive owner of the image and I give and forever grant to Mubadala, Al Jazira Club, Proactive Soccer Festival, its affiliates, its advertising agency, licensees and producers or publishers of its promotional materials and their successors and assigns, the right to use, publish, broadcast and copyright my image, portrait, likeness and voice, in whole or part in whatever way throughout the aforementioned Usage Territory.
I waive all rights over the image and understand that it might be cropped, altered, and modified for the said purpose. I give permission for use, reuse, publish or re-publish, in whole or in part, in any medium for commercial, promotional or trade purposes.
This right shall include the right to combine my likeness, by digital means or otherwise, for the protection of life and limb of the named minor child, in my absence.
Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.