Parents Approval & Consent

I give my approval and consent to the participation of my son in
the program of the Randy Edsall Football Camp, hereinafter
referred to as “Camp”. I am aware of the risks and hazards
incidental to such participation and I certify that he is physically
fit to take part in all activities. I will not hold Camp authorities,
Camp staff, or the Camp responsible in case of accident or
injury as a result of his participation and hereby waive, release
and forever discharge any and all claims for damages which may
hereafter occur as a result of my son’s participation in the Camp.
I understand that I am responsible for any medical expenses
that may result from his participation. Permission is granted to
use his photograph in future Camp literature and publicity. I
pledge his compliance to any and all Camp rules and
understand that he could be dismissed from Camp for any
conduct not in the best interests of the Camp and that no part
of his registration fee will be refunded. I hereby understand that
the University of Connecticut does not run the Randy Edsall
Football Camp and, therefore, is not liable for any harm incurred
as a result of participation and/or attendance at the Camp.

Consent To Treatment:
I hereby authorize any medical evaluation or treatment of my son that may be advised
or recommended by the attending physician while at the Randy Edsall Football Camp.

Parent or Guardian: __________________________________________

INSURANCE CARRIER: ____________________________________

POLICY NO.:______________________________________________