As a parent or legal guardian of the above named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This may be given under whatever conditions are necessary to preserve life, limb, or well being of my dependent.

Both the parent (or guardian) and the student will affirm by accepting this form that each understands the following statement regarding their ability in the event of student injury; It is understood by the student and his/her parent/guardian that NH Thunder assumes no liability for injuries incurred in NH Thunder sponsored athletics. Any student injury must be reported to the coach before leaving the place of meet or practice in order that proper report is completed. All medical, hospital, ambulance or other such bills shall be charged to the parent/guardian and shall be considered the financial responsibility of such parent/guardian.