This is to certify that as the parent(s) or guardian(s) of the athlete, whose name appears below, I/we consent to his/her participation in the soccer trip to Brazil. I/we authorize the athlete to travel to Brazil in the custody and supervision of the National Capital Soccer Academy and SOCCER FUTURO to take all actions it deems necessary and appropriate for the health and welfare of the child.

I/we further agree to release, hold harmless and indemnify SOCCER FUTURO; its officers, directors, and representatives from and against any and all liabilities, obligations and claims as a result of the athlete's activities outside the United States.

I/we specifically give permission for our son, _________________________, to travel with SOCCER FUTURO

Dated: ____________day of ______________2006

Athlete's Name, Printed or Typed_________________________

Parent/Guardian Signed____________________________

Parent/Guardian Signed____________________________

Parent/Guardian's Name, Printed or Typed______________________________

Parent/Guardian's Name, Printed or Typed______________________________

(Requires Notary Public Notarization)

________________________________

Notary