2021 Fall Registration
Soccer Elite Academy Program
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Email *
Soccer Elite Academy
Player's First Name *
Player's Last Name *
Parent's First Name *
Parent's Last Name *
Phone Number *
Side of the City you live on? *
Gender *
Date of Birth *
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Soccer Elite Academy Kits
Kit Size - If you want a new Kit *
If you already have a Kit please enter the number of the current Kit.
Current Club? *
Current Academy *
What position do you play? *
Method of Payment *
How did you hear about us: *
Soccer Elite Sports Backpack $40
You want an Elite Sport Bag? *
Required
Waiver I/we, the parent and/or guardian of the above registered player(s) accept the liability and risk associated with soccer as a contact sport and release the Edmonton Elite Soccer Academy (SEA) and any of its affiliates from any claim, demands, damages, actions or causes of action arising out of or in consequence of any loss, injury or damage to the player incurred while participating in any SEA registered program.In addition, I/we consent to SEA collecting, using and disclosing the above registered player's information with affiliated soccer organizations such as the International Superior Squad (ISS) and Superior Squad Canada for participation on teams. This information can also be used for the production of Team Lists to be shared with parents of that team. SEA PLAYERS: I/we consent to the use of the player's name in the publication of Team Rosters on our website at the beginning of each season. *
Required
Consent is also given for the use of and/or posting of still and action photos or video with/without player identification for the purpose of promoting soccer by Soccer Elite Academy and affiliated organizations and sponsors. I/we accept that SEA will be sending seasonal and Association updates periodically that may be time sensitive. I/we, therefore, acknowledge that it is our responsibility to check the email provided on a regular basis. Medical Information. It is the parent's responsibility to make the coach aware of any medical concerns. Please also report any more serious medical concerns/issues such as - insulin pump, implant or apparatus, etc. directly to SEA Director at director@soccereliteacademy.ca *
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YOUTH WAIVER Alberta Soccer Association INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT (to be executed by parents/guardians of Individuals who are under the age of majority) WARNING! By signing this document, you will assume certain risk and responsibilities. Please read carefully! 1. This is a binding legal agreement. Clarify any questions or concerns before signing. As an Individual in activities, programs, classes, services provided and events sponsored or organized by Alberta Soccer Association and its affiliated districts, leagues, clubs and teams (collectively the “Organization”) and the sport of soccer, which includes but is not limited to: games, tournaments, practices, training, personal training, dry land training, the use of strength training and fitness conditioning equipment, machines and facilities, nutritional and dietary programs, orientation or instructional sessions or lessons, and aerobic and anaerobic conditioning programs (collectively the “Activities”), the undersigned being the Individual and Individual’s Parent/Guardian (collectively the “Parties”) acknowledge and agree to the terms outlined in this agreement. 2. I am the Parent/Guardian of the Individual and have full legal responsibility for the decisions of the Individual. Description of Risks 3. The Parties understand and acknowledge that: a) The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care, caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent disability, paralysis and loss of life; b) The Organization may offer or promote online programming (such as webinars, remote conferences, workshops, and online training) which have different foreseeable and unforeseeable risks than in-person programming; c) The Organization has a difficult task to ensure safety and it is not infallible. The Organization may be unaware of the Individual’s fitness or abilities, may give incomplete warnings or instructions, may misjudge weather or environmental conditions, and the equipment being used might malfunction; and d) The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19; however, the Organization cannot guarantee that the Individual will not become infected with COVID-19. Further, attending the Activities could increase your risk of contracting COVID-19. 4. The Individual is participating voluntarily in the Activities. In consideration of that participation, the Parties hereby acknowledge that they are aware of the risks, dangers and hazards and may be exposed to such risks, dangers and hazards. The risks, dangers and hazards include, but are not limited to: a) Contracting COVID-19 or any other contagious disease; b) Executing strenuous and demanding physical techniques; c) Vigorous physical exertion, strenuous cardiovascular workouts and rapid movements; d) Exerting and stretching various muscle groups; e) The failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment; f) Spinal cord injuries which may render the Individual permanently paralyzed; g) Serious injury to virtually all bones, joints, ligaments, muscles, tendons and other aspects of the Individual’s body or to the Individual’s general health and well-being; h) Abrasions, sprains, strains, fractures, or dislocations; i) Privacy breaches, hacking, technology malfunction or damage; j) Concussion or other head injuries, including but not limited to, closed head injury or blunt head trauma; k) Physical contact with other Individuals, spectators, equipment, and hazards; l) Not wearing appropriate safety or protective equipment, such a helmet; m) Failure to act safely or within the Individual’s ability or within designated areas; n) Grass, turf, and other surfaces including bacterial infections and rashes; o) Collisions with fences, poles, stands, and soccer equipment; p) Negligence of other persons, including other spectators, Individuals, or employees; q) Weather conditions; and r) Travel to and from competitive events and associated non-competitive events which are an integral part of the Activities We have read and agree to be bound by paragraphs 1 to 4 Terms 5. In consideration of the Organization allowing the Individual to participate in the Activities, the Parties agree: a) That the Individual’s mental and physical condition is appropriate to participate in the Activities; b) That when the Individual practices or train in his or her own space, the Parties are responsible for the Individual’s surroundings and the location and equipment that is selected for the Individual; c) To comply with the rules and regulations for participation in the Activities; d) To comply with the rules of the facility or equipment; e) That if the Individual observes an unusual significant hazard or risk, the Individual will remove themselves from participation and bring such to the attention of an Organization representative immediately; f) The risks associated with the Activities are increased when the Individual is impaired, and the Individual agrees not to participate if impaired in any way; g) That it is their sole responsibility to assess whether any Activities are too difficult for the Individual. By the Individual commencing an Activity, they acknowledge and accept the suitability and conditions of the Activity; h) That they are responsible for the choice of the Individual’s protective equipment and the secure fitting of the protective equipment; i) That COVID-19 is contagious in nature and the Individual may be exposed to or infected by COVID-19 and such exposure may result in personal injury, illness, permanent disability or death and voluntarily agree to assume all of the foregoing risks. 6. In consideration of the Organization allowing the Individual to participate, the Parties agree: a) That the Parties are not relying on any oral or written statements made by the Organization or their agents, whether in brochure or advertisement or in individual conversations, to agree to be involved in the Activities; and b) That the Organization is not responsible or liable for any damage to the Individual’s vehicle, property, or equipment that may occur as a result of the Activities.We have read and agree to be bound by paragraphs 5 and 6 General 7. The Parties agree that in the event that they file a lawsuit against the Organization, they agree to do so solely in the province of Alberta, Canada and they further agree that the substantive law of Alberta will apply without regard to conflict of law rules. 8. The Parties expressly agree that this Agreement is intended to be as broad and inclusive as is permitted by law and that if any of its provisions are held to be invalid, the balance shall, notwithstanding, continue in full legal force and effect.Acknowledgement 9. The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, their spouses, parents, guardians, next of kin, executors, administrators and legal or personal representatives. *
Required
Soccer Elite Academy - Sanctioned under Alberta Soccer Association requires the disclosure of exposure to illness in order to safeguard the health and safety of all participants and limit the further outbreak of COVID-19. This Declaration of Compliance will be kept safely, and personal information will not be disclosed unless as required by law or with your consent. An individual (or the individual’s parent/guardian, if the individual is younger than 18 years old) who is unable to agree to the terms outlined in this document is not permitted to enter the Organization’s facilities or participate in the Organization’s activities, programs, or services. I, the undersigned being the individual named above and the individual’s parent/guardian (if the individual is younger than 18 years old), hereby acknowledge and agree to the terms outlined in this document: 1) The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19 and requires all individuals (or their parent/guardian, when applicable) to adhere to the compliance standards described in this document. 2) The individual has not been diagnosed with COVID-19, OR if the individual was diagnosed with COVID-19, the individual was cleared as noncontagious by provincial or local public health authorities more than 14 days prior to the date this Declaration of Compliance was signed. 3) The individual has not been exposed to a person with a confirmed or suspected case of COVID-19, OR If the individual was exposed to a person with a confirmed or suspected case of COVID-19, the date of exposure was more than 14 days prior to the date this Declaration of Compliance was signed. 4) The individual is attending or participating voluntarily and understands the risks associated with COVID-19. The individual (or the individual’s parent/guardian, on behalf of the individual (when applicable)) agrees to assume those risks, including but not limited to exposure and being infected. 5) The individual has not, nor has anyone in the individual’s household, experienced any signs or symptoms of COVID-19 in the last 14 days (including fever, new or worsening cough, fatigue, chills and body aches, sore throat, shortness of breach, respiratory illness, vomiting or diarrhea, loss of taste or smell, or difficulty breathing). 6) If the individual experiences, or if anyone in the individual’s household experiences, any cold or flu-like symptoms after submitting this Declaration of Compliance, the individual will immediately isolate and not attend any of the Organization’s facilities, activities, programs or services until at least 14 days have passed since those symptoms were last experienced. 7) The individual has not, nor has any member of the individual’s household, traveled to or had a lay-over in any country outside Canada in the past 14 days. If the individual travels, or if anyone in the individual’s household travels outside Canada after submitting this Declaration of Compliance, the individual will not attend any of the Organization’s facilities, activities, programs or services until at least 14 days have passed since the date of return. 8) The individual is following recommended guidelines, including but not limited to, practicing physical distancing, trying to maintain separation of six feet from others, adhering to recognized hygiene best practices, and otherwise limiting exposure to COVID-19. 9) The individual will follow the safety, physical distancing and hygiene protocols of the Organization. 10) This document will remain in effect until the Organization, per the direction of the provincial government and provincial health officials, determines that the acknowledgements in this Declaration of Compliance are no longer required. 11) The Organization may remove the individual from the facility or from participation in the activities, programs or services of the Organization at any time and for any reason if the Organization believes, in its sole discretion, that the individual is no longer in compliance with any of the compliance standards described in this document. *
Required
I accept that my child athlete will train and play soccer at their own risk, including risks associated with the COVID-19 pandemic. Soccer Elite Academy will not be held liable and/or responsible for any damages, injuries and/or illnesses that occur while in the course of any and all training programs. *
Required
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