By submitting this form electronically, I hereby indemnify, defend and hold harmless the Town of Smyrna, TN., North Rutherford Soccer Association, its appointed or elected officials, employees, volunteers and each of them for any and all suits, actions, legal or administrative proceedings, claims, demands, liabilities, interest, attorney’s fees, cost and expenses of whatsoever kind or nature, arising out of my (child or dependent) participating in this program. I further recognize the authority of North Rutherford Soccer’s Board of Directors and the Town of Smyrna Parks and Recreation Department to remove any coach, player, referee, parent, guardian, or spectator from any facility and or event if deemed necessary in order to assure compliance with the Town of Smyrna Parks and Recreation Department and North Rutherford Soccer’s Rules and Regulations and to assure the well being of park users, programs, Town of Smyrna facilities and citizens. Recognizing this authority I hereby hold harmless the Town of Smyrna, North Rutherford Soccer and its’ designees and appointees. I further verify that this signature insures that this child is covered by accidental or medical insurance policy.