This is to certify that the undersigned, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her acceptance of the Membership Obligations and his/her Release of Liability as provided above, of all the Releasees as detailed above, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees as detailed above, from any and all liabilities incident to my minor child’s involvement or participation in the programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.


NEW JERSEY SOCCER ASSOCIATION.
P.O. Box 9765
Trenton, NJ 08650
e-mail: office@njsasoccer.com
In case of emergency, please call
609-587-9107

NEW JERSEY SOCCER ASSOCIATION.
P.O. Box 9765
Trenton, NJ 08650
e-mail: office@njsasoccer.com
In case of emergency, please call
609-587-9107
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