In case of an emergency I hereby authorize the agent, officer or employee of Heart & Sole Futsal to act for me according to his/her best judgement. In any emergency requiring medical attention, and hereby waive and release agents, officers and employees, or the owner and operators of Heart & Sole Futsal from any and all liability for any injuries, illnesses, or loss of property incurred while attending the camp, course or tournament. Participants must inform Heart & Sole Futsal of any specific health needs. I also consent to the use by Heart & Sole Futsal and/or sponsors for promotional purposes in connection with this camp, tournament or coaching certification course of his/her name, address (city/state) and/or likeness and/or voice without further compensation. By electronically signing this, you agree to the statements above.