Soccer Nation Academy

Youth Player Registration // REGISTRO DE JUGADOR

Soccer Nation Academy- Player Registration // Soccer Nation Academy- Registro de Jugador


Player Information
Name *
Date of Birth
Date of Birth
Parent Information
Name *
Phone *
Signature *
Soccer Nation Academy Liability Waiver I, the undersigned parent/guardian of the above named minor applicant/participant/player, do hereby Acknowledge and fully understand that each applicant/participant/player will be engaging in activities that can involve risk of serious injury, including permanent disability or death, and severe social and economic losses which might result not only from their own actions, inactions or negligence, but also the actions, inactions or negligence of others, the rules of play, or the condition of the premises of any equipment used and further, that there may be other unknown risks not reasonably foreseeable at this time. I agree to assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death, and hereby release, discharge and agree not to sue Soccer Nation Academy / Soccer Nation KC LLC, its affiliated organizations and sponsors, its coaches, managers, employees and associated personnel, officers, directors, agents including the owners and leasers of the premises used to conduct the event, all of which are hereby referred to hereinafter as "releasees", from any and all liability to each of the undersigned, his/her heirs or next of kin for any and all against claim by or on behalf of the applicant as a result of the applicant's participation in the Programs and/or being transported to or from the same, which participation, after careful consideration I hereby authorize, and which transportation I hereby . The applicant/participant/player participating programs. I hereby give my consent to have an athletic trainer, coach and/or doctor of medicine or dentistry or associated personnel to provide the applicant/participant/player with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I also agree to save and hold harmless and indemnify each and all parties herein referred to above as release from all liability, loss, cost, claim or damage whatsoever, including death or damage to property, which may be imposed upon said release because of any defect in or lack of such capacity to so act or caused or alleged to be caused in whole or in part by the negligence of the releasee. I have read the above waiver/release and understand that (I) we have given up substantial rights by signing this release and sign below voluntarily.