23-24 Season Tryouts
Birth Years: 2017-2014 Tryouts will be December 5, 6 and 8 - 5-6:30pm @ Alga Norte Community Park
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Player First Name: *
Player Last Name: *
Player Date of Birth: *
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Parent Name: *
Phone Number: *
Email Address: *
Does player currently play competitive soccer? *
If yes, for which club? (N/A if No) *
Do you agree to our waiver? Do you agree to our waiver? Waiver and Medical Release: By agreeing to/signing off the terms of this waiver, legal guardian of the participant, or the participant themselves, affirms having read it and acknowledges and understands its terms, and signs it freely and voluntarily without inducement.1) On my own behalf and on the behalf of participant, my heirs, successors and assigns, I hereby forever release and discharge and agree to indemnify FCGS NC / CCF / SC Blues and its related entities, each of their officers, Directors, Employees, Agents, Shareholders, Members, Partners, Representatives, and all owners and Operators of all sites at which “FCGS NC / CCF / SC Blues” conduct try-outs, clinics, practices, camps, testing, competition or games, and their respective affiliates, and all the representatives (collectively the “released parties”) from any and all injury, damage, loss, demands or causes of action, whether known or unknown (“claims”) that I may now or hereafter have arising out of my or participants participation in “FCGS NC / CCF / SC Blues”, or any “FCGS NC / CCF / SC Blues” related activity including without limitation clinics, try-outs, games and training sessions. I understand and acknowledge that dangers of personal injury are inherent in participating in soccer try-outs, clinics, practices, camps, testing, competition or games, and I expressly and voluntarily assume all risk related thereto, including without limitation, death or personal injury sustained in the clinics, try-outs, games and training sessions, as well as the risks incurred in all these activities and those arising from hidden, latent or obvious defects in any facilities or equipment used. I acknowledge the possibility that my successors or I may not fully know the number or magnitude of all claims, and agree that this release is a full and final release of all claims. This release is intended to be binding on my heirs and assigns. This release is being signed in consideration of the opportunity to play for “FCGS NC / CCF / SC Blues” teams and is governed by California State law.2) Medical Release: As the participant or parent/legal guardian of the registered player, I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the above. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named player. I attest and verify that the player is physically fit and able to participate in “FCGS NC / CCF / SC Blues” activities and acknowledge that I am aware of the inherent risks in participating in an athletic event of this type. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that as a participant I may be exposed to or infected by COVID-19 by attending “FCGS NC / CCF / SC Blues” and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the “FCGS NC / CCF / SC Blues” sponsored events may result from the actions, omissions, or negligence of myself and others, including but not limited to “FCGS NC / CCF / SC Blues” employees, agents, volunteers, and program participants and their families.3) I do hereby give FCGS NC / CCF / SC Blues and to its assigns, licenses, and legal representatives the irrevocable right to use my name, picture, portrait, photograph, image, or voice in all forms of media and in all manners, including composite or distorted representations. I am fully aware that my name, picture, portrait, photograph, image, or voice may be used for the production of a FCGS NC / CCF / SC Blues Recruitment Video and or any other marketing piece or project produced by FCGS NC / CCF / SC Blues. I am fully aware that the video/marketing piece may be reproduced and may be distributed. I hereby waive any right to inspect or approve the final version(s), which includes any written copy produced in connection therewith. I acknowledge that any material that appears in the video is either free of international copyright violations or has been properly licensed for use in this context; I therefore release FCGS NC / CCF / SC Blues of any liability for the production, distribution, and showing of said video or marketing materials. *
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