Fall 2021 - Spring 2022 Croton FC Competitive Soccer Tryouts
Register your information here to participate
Birth Year *
Birth Month *
Birth Day *
Player Last Name *
Player First Name *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Email *
Parent/Guardian Phone # *
Emergency Contact Last Name *
Emergency Contact First Name *
Emergency Contact Phone # *
Liability Release - Please Read
We, the undersigned, in consideration for my voluntary participation in organized soccer, do
hereby willfully acknowledge that my signature below attests to my understanding and
agreement that:
Soccer is a physical contact sport that involves the risk of injury. We assume all risks and hazards
associated with participation in the sport. We consent to have no illness, disease or existing injury or
physical defect that would be aggravated by participation. We will inform the coach if this status
changes. Participation in the sport requires to wear shin guards, properly fitted and appropriate
shoes, and other protective equipment (e.g., mouth-pieces), as provided by soccer rules, to all
We are responsible for any and all medical expenses arising from participation, both in practices and
games and while travelling to and from these events. If we believe that anything may be unsafe, we
will advise the coach or supervisor of the condition and may refuse to participate. Participation
assumes consent. I authorize my photograph, picture or likeness, and voice to appear in any
documentary, promotion (including advertising), television, video, or radio coverage of the camp,
without compensation.
I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue, the
coaches, trainers, volunteers, sponsors and advertisers, from any and all liability incurred in the
conduct of, and participation in, their soccer programs. This includes owners, lessors, and lessees of
premises, municipalities, government agencies, successors, heirs, and assigns.
I have completely read this document and fully understand its contents. I acknowledge that I have
given up substantial rights by accepting this document and that I do so voluntarily. My signature
attests to this on behalf of myself and my executors, personal representatives, administrators, heirs,
next-of-kin, successors, and assigns.
As the parent and natural guardian or legal guardian of the participant, by entering my name to this form
I hereby agree to the foregoing Waiver of Liability and Release for, and on behalf of, the participant (player/minor)
named above. I hereby bind myself, the minor, and all other assigns to the terms of the
Waiver of Liability and Release. I represent and certify that I have the legal capacity and the
authority to act for, and on behalf of, the minor in the execution of this Waiver of Liability and
Liability Release Signature - Enter Your Full Name *
Liability Release - Date of Signature *
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