GCF Liability Form

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GCF Liability Form

Gulf Coast Futsal Pickup Liability. Please read below and sign and date before participating in any GCF Events.
Valid 1/1/2020 - 12/31/2020

Player Name *

Player Birth Date *

YYYY

Emergency Contact Name *

Emergency Contact Phone Number *

Relation to Player *

Has Your Player Participated in GCF Events in the Past? *

Yes

I recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify the club, Gulf Coast Futsal, Snap Soccer, and their sponsors, and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named below as a result of that player’s participation in soccer programs and/or being transported to or from the same, which transportation I hereby authorize. I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. *

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