ADDENDUM TO SOCCER STARS CONSENT, WAIVER AND RELEASE: SUPPLEMENTAL COVID-19 WAIVER AND ACKNOWLEDGEMENT
I acknowledge that Soccer Stars requires participants in Soccer Stars classes, programs and activities to comply with and adhere to certain COVID-19-related safety and risk mitigation practices while participation in Soccer Stars classes, programs and activities, such as: (i) having children bring their own equipment (e.g. soccer balls and pinnies); (ii) recognizing social distancing practices (i.e. maintaining 6-feet of space between individuals); (iii) wearing a proper face mask; and (iv) washing hands and/or using hand sanitizer frequently and avoiding touching of the face.

Although I acknowledge and agree that my and my child’s compliance with these safety and mitigation practices is not only for my own benefit but also for the benefit of other participants in Soccer Stars classes, programs and activities, I represent and warrant that that I, my child, and other accompanying individuals participating in the Soccer Stars class, program and/or activity set forth below (the “Designated Activity”) have a personal relationship with the other participants in the Designated Activity such that we are knowingly waiving and therefore not observing certain COVID-19 related safety and risk mitigation practices, including, without limitation equipment sharing, social distancing and wearing face masks.

I voluntarily assume the risk that I, on behalf of myself, and my child, may be exposed to COVID-19 or persons with COVID-19 disease as a result failing to comply with and adhere to the COVID-19-related safety and risk mitigation practices put in place by Soccer Stars while participation in Soccer Stars classes, programs and activities.

Notwithstanding the foregoing, in an effort to curtail the risks of contracting COVID-19, I still agree not to attend Soccer Stars classes, programs and activities or bring my child to Soccer Stars classes, programs and activities if either of us is sick or if, within the 14 day period prior to a Soccer Stars class, program and/or activity, (i) there has been a suspected/confirmed case of COVID-19 in the my household, (ii) I, my child, and/or other household members have experienced any symptoms of COVID-19 including, without limitation, fever, cough or shortness of breath; or (iii) I, my child, and/or other household members have been in close contact with a person known to have COVID-19 (or any known symptoms thereof).

If Soccer Stars believes in its sole judgment that a participant in a Soccer Stars class, program and/or activity is COVID-19 positive, then Soccer Stars will cancel physical instruction related to such Soccer Stars class, program and/or activity for a minimum of 14 days or replace such physical instruction with digital instruction for a minimum of 14 days. No refunds or credits will be given for classes, programs and activities cancelled for COVID-19 related safety concerns.
Sign in to Google to save your progress. Learn more
Email *
Parent or Guardian Name *
Child Name *
Which Class/Program is Your Child Registered for? *
I understand and agree to all of the terms and conditions set forth in the Soccer Stars Consent, Waiver and Release as supplemented by this Addendum to Soccer Stars Consent, Waiver and Release. *
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Super Soccer Stars. Report Abuse