I HEREBY GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN THE HB GIRLS LACROSSE CLINIC. MY CHILD IS IN GOOD PHYSICAL CONDITION AND I UNDERSTAND THAT THEY WILL PARTICIPATE IN RIGOROUS ACTIVITY AND PLAY. CLINIC COACHES WILL SAFEGUARD THE HEALTH OF THE CHILD BUT WILL NOT BE RESPONSIBLE FOR ACCIDENTS OR SICKNESS. I HEREBY REQUEST THAT MY CHILD, NAMED ABOVE, BE ADMITTED TO THE LACROSSE CLINIC AND I AUTHORIZE THE DIRECTORS TO ACT FOR ME IN ANY EMERGENCY REQUIRING MEDICAL ATTENTION. I ASSUME RESPONSIBILITY FOR PAYMENT FOR ANY SUCH ATTENTION.