Download Union City Evolution Medical waiver

Union City Evolution
PLAYER AUTO-BIOGRAPHY:
TEAM:
PLAYER NAME: _________________________
BOYS:
8U
12U
9U
13U
10U 11U
14U JV/VARSITY
NICKNAME GIRLS:_____________
AGE:_____
HEIGHT:_________
WEIGHT:_________
POSITION:__________________________
ADDITIONAL
SPORTS: ___________________
PREFERRED
FUTURE COLLEGE:______________________
Parental Consent, Release and Liability Waiver Form for Publication
Please check one and sign below.
I give permission for photographs,digital images, and all information enclosed on above auto-biography
form of my child to be used without compensation by the Union City Evolution Organization in Union
City, CA for Web pages, advertising and/or promotional purposes. By signing below, I am expressly
releasing the Union City Evolution Organization, its affiliates, employees, licensees and assignees from
any and all claims which I may have for invasion of privacy, right of publicity, defamation, copyright
infringement, or any other causes of action arising out of the use, adaptation, reproduction, distribution,
broadcast or exhibition of such photographs and digital images.
I do not give permission for photographs, digital images, and all information enclosed on above autobiography form of my child to be used by the Union City Evolution Organization in Union City, CA for
Web pages, advertising and/or promotional packages.
Printed Name of Player:____________________
Printed Name of Parent or Guardian:___________________
Signature of Parent or Guardian:__________________________
Date:________________________