Houston Dutch Lions FC - Youth Academy try outs (Elite U11-U14: 2009-2006)
Try out dates:
Tuesday, May 14th and Thursday, May 16th
6:30pm - 7:30pm
In recognition of, and with knowledge of, the fact that engaging in the sport of soccer involves a substantial risk of personal injury, I, the undersigned, warrant that I am in good physical condition and hereby agree to assume the risk of any injury I may suffer as a result of my participation in tryouts for the Houston Dutch Lions FC LLC held in 2019.
Therefore, in consideration for being permitted to participate at such tryouts/soccer camp, I hereby release, waive, and forever discharge the Houston Dutch Lions FC LLC, its staff, representatives, and medical personnel from any and every claim, demand or actions of whatever kind, arising from any bodily harm, personal injury or death resulting from any accident which may occur as a result of participation in tryouts/soccer camp. Further, and to the same extent and scope, I release said parties from any claim whatsoever which may be attributable to the receipt of first aid or other emergency treatment rendered me in connection with my participation in such tryouts.
Pictures, Movies and/or any other kind of materials can be used for promotion or advertising purposes.
I, the undersigned, affirmatively swear that I am, at the time of signing, of legal age and fully competent to and do hereby execute this Release and Waiver on behalf of heirs, my assigns, or myself. I further represent and warrant that I have read and fully understand the terms of this document and their legal significance.
In witness whereof I have voluntarily and without inducement from any party, executed this Release and Waiver by submitting this form
Tuesday, May 14th (6:30-7:30pm)
Thursday, May 16th (6:30-7:30pm)
Right back / left back
Date of Birth of player (double check birth year)
Please list all clubs played for, as well as level
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