FC Westlake Interested Player Form
Please use this form to register your interest in an FC Westlake program.  Once you have filled out the form, a staff member with reach back out to you to get more information.
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Player Name *
Player Gender *
Player Birth Year *
Current Soccer Club *
Current Team Name *
Current level of play *
Player Primary Position *
Parent Name *
Parent Email *
Parent Phone Number *
Please check the box below to indicate that you have read and agree to the liability waiver.

Liability Waiver:

I,(parent/guardian) hereby give and assign to Westlake Youth Soccer Association of Austin (“WYSA”) dba FC Westlake and its legal representatives, have the right and permission to publish my child’s name, likeness, photographic image, video, and biographical data for the specific purpose of publicity and promotion of the player, team, and/or WYSA. 

In consideration of WYSA allowing my child to participate in WYSA’s programs, I HEREBY WAIVE AND RELEASE, INDEMNIFY, HOLD HARMLESS AND FOREVER DISCHARGE WYSA, EANES ISD, CITY OF AUSTIN,  CITY OF ROLLINGWOOD, CITY OF WESTLAKE HILLS, AND ANY OTHER PARTNER OR PROVIDER OF FACILITIES, ITS AGENTS, EMPLOYEES, OFFICERS, DIRECTORS, AFFILIATES, SUCCESSORS AND ASSIGNS (HEREBY JOINTLY AND SEVERALLY REFERRED TO HEREIN AS (“RELEASED PARTIES”), OF AND FROM ANY AND ALL CLAIMS, DEMANDS, DEBTS, CONTRACTS, EXPENSES, CAUSES OF ACTION, LAWSUITS, DAMAGES, AND LIABILITIES, OF EVERY KIND AND NATURE, WHETHER KNOWN OR UNKNOWN, IN LAW OR EQUITY, THAT I OR MY CHILD EVER HAD OR MAY HAVE ARISING FROM OR IN ANY WAY RELATED TO MY CHILD’S PARTICIPATION.  

This waiver and release include (but are not limited to) claims based on or arising from any injuries to my child resulting from said child’s participation in any of the training, camps, or related soccer or physical activities conducted by, or on the premises of, or for the benefit of any of the Released Parties as well as injuries resulting from engaging in fitness or strength and endurance workouts, practicing and/or engaging in soccer practices, scrimmages, tournaments, league games or other related activities including travel to and from. I understand the activities that said child will participate in can be dangerous and involve risks of serious bodily injury, including permanent disability, paralysis, and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "Released Parties" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I and/or my minor child incur as a result of my and/or my minor child’s participation. On behalf of myself, my child, my heirs, assigns and next of kin, my child, my spouse (if applicable), and I waive all claims for damages, injuries, and death sustained that we may have against Released Parties regarding any such activity. I certify to the best of my knowledge that my child's current physical condition is satisfactory for participation in the WYSA soccer program and that my child is free of any health problems, which would endanger his/her participation. I will inform the coach should his/her condition change at any time during his/her participation in this program. This waiver of liability does not apply to any acts of gross negligence or intentional, willful, or wanton misconduct.  

I further agree that in consideration of and as a material term of WYSA’s agreement to allow my child to participate, I AGREE TO INDEMNIFY, DEFEND, AND HOLD WYSA HARMLESS FOR THE COST OF DEFENDING AND SATISFYING ANY CLAIM THAT IS FILED AGAINST WYSA BASED ON OR ARISING FROM INJURIES TO MY CHILD.

This waiver and release contains the entire agreement between the parties and supersedes any prior written or oral agreements concerning this subject matter. The provisions of this may be waived, altered, amended, or repealed, in whole or in part, only upon the prior written consent of all parties.  

 I have read, understand, and fully agree to the terms of this waiver and release. I understand and confirm that by accepting this waiver and releasing said child I have given up considerable future legal rights. I have accepted this Agreement freely, voluntarily, and under no duress or threat of duress, without inducement, promise, or guarantee being communicated to me. By completing this registration, I am executing a complete and unconditional waiver and release of all liability to the full extent of the law. I understand that WYSA is a Texas non-profit corporation. I expressly agree that the foregoing Release Waiver is intended to be as broad and inclusive as is permitted by the law of the State of Texas and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.


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