Select Age GroupAge Group (10-13)Age Group (14-17) Select Offensive PositionA-Offensive LinemanB-QuarterbackC-Running BackD-Receiver Select Defensive PositionA-Defensive LinemanB-LinebackerC-Defensive Back Parent/Guardian Information Medical and Insurance Information Emergency Information Acknowledgement, Liability Waiver I, the undersigned parent/guardian of the above camp participant, do hereby grant the authority to the staff of MAGV Skills Academy to apply judgment in regards to medical assistance in the event of an accident, injury, or illness if they are unable to contact the parent or guardian. I authorize first aid, a medical or surgical diagnosis and treatment which may deem necessary. I, the undersigned, release MAGV Skills Academy and any of its coaches, staff, manager, and/or any parent for any responsibility in case of accident, illness, or injury during my child’s enrollment. Parent and/or Guardian Signature I confirm that the information given in this form is true, complete and accurate. I have read, understand and agree to all statements on this form.