Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to Mississauga Football Club and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season and all future participated programs. 

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Photography & Video Release

I hereby grant Mississauga Football Club, permission the right to photograph my child's image, likeness and sound of their voice as recorded on audio or video tape. I understand that my childs image may be edited, copied, exhibited, published or distributed on social media channels such as Instagram, Facebook, Twitter & the website website (www.fcmississauga.com)

Photographic, audio or video recordings may be used for the following purposes:

• Website
• Social Media
• Educational Settings 

By signing this release, I understand this permission signifies that photographic or video recordings of my child may be electronically displayed via the Internet or in the public educational setting. 

I will be consulted about the use of the photographs or video recording for any purpose other than those listed above.

This release applies to photographic, audio, or video recordings collected, video clips and images, online, and Social Media channels as part of the sessions listed on this document only. I agree and acknowledge that photography and/or video can be used even after my child has left the soccer program. 

Additionally, I waive any right to royalties or other compensation arising or related to the use of my child's image or recording.