Parental Permission Form

I/we the parent(s) or Guardian(s) for 

do herby give my/our approval to participate in any and all Clyde Malone Center Panthers Activities.

The Clyde Malone Center is a NON-PROFIT ATHLETICS PROGRAM.

I/we know that the participation in these activities may result in serious injury and protective equipment does not prevent all injuries to players, and do hereby waive, release, absolve, indemnify and agree to hold harmless The Clyde Malone Center, the organizers, sponsors, supervisors, coaches and participants for any claim arising out of any injury to my/our child.


I/We grant permission to the Clyde Malone Center, its coaches and or league officials to authorize and obtain medical care from any licensed physician, hospital or medical care clinic should my/our child become ill or injured while participating in Clyde Malone Center Panthers activities.

I/we authorize The Clyde Malone Center Panthers to photograph or videotape my child for use in its advertising and promotional activities.

I/we understand The Clyde Malone Center Panthers may request proof of my/our child’s age and/or grade.

This policy must be signed as a condition of your child’s participation.

Players will NOT be allowed to participate in any activities without a parent’s signature. NO EXCEPTIONS.