• *Player's name:
  • *Birth of Year:
  • *Grade:
  • *Gender: Male Female
  • *Contact Email:
  • *Contact Phone Number:

  WAIVER AND RELEASE FORM FOR LIABILITY * I acknowledge that COVID-19 risk exists in a close contact soccer training and game. I acknowledge that soccer or any sporting event is an extreme test of a person¡¯s physical and mental limits and carries with it the potential for death, serious injury, or property loss. I HERE BY ASSUME THE RISK OF PARTICIPATION IN THE SOCCER TRAINING AND GAME. I agree that prior to participating, I will inspect the facilities and equipment to be used and if I believe anything is unsafe, I will immediately advise the coach or supervisor of such condition(s) and refuse to participate. I hereby take the following action for myself, my coaches, and administrators: a) I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death or personal injury or damages of any kind, which arise out of or relate to my participation in, or my traveling to and from the soccer training and game, THE FOLLOWING PERSONS; any Players, Volunteers, Administrators, or Coaches. b) I AGREE NOT TO SUE nor bring any type of lawsuit against any persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein; and c) I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions. I AM UNDER THE AGE OF EIGHTEEN (18) YEARS OLD. MY PARENTS/GUARDIAN HAS READ AND COMPLETED THE SECTION BELOW. The undersigned, the parent and natural guardian or legal guardian hereby the forgoing Waiver and Release for and on behalf of the named herein. I hereby bind myself, the minor and all other assigns to the terms of the Waiver and Release. I represent that I have legal capacity and authority to act for and on behalf of the minor in the execution of the Waiver and Release. I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility to treat the minor named herein for the purpose of attempting to treat or relieve any injuries received by said minor arising out of, or relating to the soccer training and game. I authorize any such Medical Provider to perform all procedures deemed medical advisable. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself and said minor. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms.

  • *Statement Read:

    Parent/Guardian¡¯s eSignature: You agree your electronic signature is the legal equivalent of your manual signature on the above WAIVER AND RELEASE FORM FOR LIABILITY.

  • *Parent Signature:

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