**MEDICAL CONSENT WAIVER**

I, being the parent/guardian of the above mentioned child, do hereby certify that my child is in good health & may participate in all clinic activities. I hereby appoint the clinic staff to act on my behalf in authorizing medical attention for my child. I understand that the BCS Booster club, Michaela Barkla, Taylor Saltus, Megan Barriere, Faith Miller,  Sara Miller, Eric Boyle, Nate Kenyon, and any one associated with the Future All-Stars Basketball Clinic/Eagles Elite Clinic will not assume responsibility for accidents/ injuries incurred as result of the participation in this clinic. The Future All-Stars Basketball clinic, The BCS Booster club, and the Beekmantown Central School District will not be responsible for any medical costs and/or any other related costs.