Spring 2021 Return to Play Informed Consent Form
Due to the nature and risk of transmission while participating in Outdoor High-Contact and Moderate-Contact sports, the State requires us to provide information regarding risk to all parents/guardians of minors participating in such sports, and have each parent sign an informed consent indicating their understanding and acknowledgement of the risks indicated herein.

Should you have any questions that you want answered before signing this form, please contact Ashkon Afsari, Director of Coaching (vp-soccer@cvysl.org) or Pam Crone, President (president@cvysl.org).

Please fill out one entry per player.
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Name of Child *
Name of Parent or Guardian *
Name of Child Program
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Name of Child Team and Age group (use Birth year, program, team name - for entry. For Rec enter N/A) *
Informed Consent
According to the guidelines ( https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/outdoor-indoor-recreational-sports.aspx ) issued by the California Department of Public Health on February 19, 2021 (“Guidelines”), youth may begin returning to team soccer competition provided the conditions set forth in the Guidelines are satisfied. One of the conditions required under the Guidelines is that each child’s parent or legal guardian sign an informed consent indicating the parent or legal guardian understands and acknowledges the risks of the youth returning to competition. Execution of this informed consent (“Consent”) satisfies that condition.
As stated in the Guidelines, COVID-19 continues to pose a severe risk to communities and requires all people in California follow recommended precautions. In addition, general information regarding COVID-19 and recommended precautions that everyone should take can be found on the CDC website. The Guidelines set forth the specific risks related to COVID-19 that youths face in returning to organizing sporting competition.
In signing below, you are indicating you have been provided access to the Guidelines and understand the risks to your child, you and your family associated with your child’s return to competitive athletic competition as set forth in the Guidelines. Specifically, you understand that, with your child’s return to soccer practice and competition, there is a risk of contracting Covid-19 and this risk increases when face coverings are not worn and physical distancing is not maintained. Further, this risk increases with greater exertion levels and when mixing cohorts and groups, particularly when from different communities.
In signing below you also agree to comply with the Guidelines and such other applicable federal, state, local, Club and NorCal Premier Soccer laws, regulations, policies, procedures and guidelines.
I have read and understood the Guidelines and have had the opportunity to ask questions of my Club with respect to my child’s return to competition. I understand that my child’s participation is voluntary and that I am free to withdraw my child at any time.

Inputting your initials on this form will serve as an electronic signature, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.
Parent or Guardian Initials. *
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