I hereby give my permission for the above-named student to participate in the JFLOCI program as indicated above and to accompany JFLOCI coaches & representatives to and from all JFLOCI sanctioned activities. I am aware that with the participation in the programs comes the risk of injury to the above-named participant. I understand that the participant/family must have medical insurance and that the JFLOCI is not responsible for submitting insurance claims. I agree to be responsible for the safe return of all athletic equipment issued to the above-named participant or reimburse JFLOCI for any damage or loss caused by misuse of the equipment. Only Certified Coaches will be provided by the JFLOCI. NOCSAE approved playing equipment, strict adherence to the rules of the game, and proper physical conditioning will be used at all times. However, severe injury may occur accidentally as a result of participation in any of the JFLOCI programs: tackle football, flag football or cheerleading. I give my permission and authorization to JFLOCI and its member areas to use photographs or other likeness of the above-named participant for publicity, marketing and promotion of the JFLOCI and its member areas. Parents/guardians shall inform the Area Director of any preexisting medical condition or injury occurring outside of JFLOCI activities. The Area Director may require written medical clearance from the participants physician before being allowed to participate, compete, or practice. I have read and understand the information contained above and certify that all information provided about the above-named participant is true and correct to the best of my knowledge. I have read, signed and understand the ZERO TOLERANCE POLICY, INHERENT RISK FORM, & PARENT CONSENT FOR EMERGENCY TREATMENT FORM.