Striker Soccer of Orlando

Youth Player Waiver Form

Child's Name
Child's Date of Birth
Your Email Address
Emergency Contact Number
WAIVER, RELEASE OF LIABILITY & ASSUMPTION OF RISK: I certify that my child is physically fit to engage in soccer activities with no other medical condition preventing participation. I accept that participating in the sport of soccer comes with inherent risks of physical injury including permanent disability, paralysis & death. I give consent for emergency treatment to preserve life, limb or well being. I agree that my child participates or spectates entirely at their own risk and agree that if at any time, I believe conditions to be unsafe, that I will discontinue my child's participation immediately. I consent for Striker Soccer Enterprises LLC to use photography or film footage which may include my child's image to be used solely for the promotion of the company. I hereby release and forever discharge Striker Soccer Enterprises LLC, it's owners, staff and field owners for any liability for any and all property damage and physical injury, and waive any and all rights, claims or causes of action including medical claims arising out of my child's participation in this activity. I certify that I have fully read this waiver and release of liability and assumption of risk, fully understand it's terms and signed freely. I agree that if any portion of this agreement is to be held invalid, the balance shall continue in full force and effect. This waiver and release of liability and assumption of risk shall remain in effect for the duration of my child's participation and for any subsequent participation.
- By Checking this box I understand, agree and accept the above waiver, release of liability and assumption of risk.
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STRIKER SOCCER

Soccer Leagues, Coaching & Tournaments forWest Orlando

Youth Player Waiver Form

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