Medical Release Waiver

I the undersigned hereby certify that I hereby give my permission for the
Chattanooga FC staff, during the period of the trial, to seek appropriate
medical attention for me, and for medical attention to be given, and for me
to receive medical attention in the event of an accident, injury, or illness. I
will be responsible for any and all costs of medical attention and treatment
and have medical insurance to cover these costs. I understand, as with any
sport, injuries can occur, and hereby acknowledge that I am physically fit and
mentally capable of participating in Chattanooga FC trial activities.

Signature __________________________________

Name __________________________________

Date ________________