Gulf Breeze Soccer Clinic
Register here for the 2019 Gulf Breeze Rec Soccer Clinic put on by the Gulf Breeze High School Soccer programs. Be sure to select the date/location that you will be attending. Thanks for signing up and we look forward to seeing you!!

WHO: All GB Rec Soccer Players
AGE: 6-14
WHEN: Oct 19th (Tiger Point) and Oct 26th (GB Rec)
TIME: 2:00 pm to 3:30 pm
COST: FREE

What to bring: Cleats, Shinguards, ball, and water (we will provide some water and Powerade as well!)
Email address *
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Player Name *
Your answer
Player Age *
Which Clinic will you attend? *
Waiver and Release
I understand that playing or participating in this clinic may be a potentially dangerous activity involving risk of injury. I understand that in any contact sport, such as the sport involved at this clinic, an athletic participant can be seriously injured. I am aware that the dangers and risks of my child’s/ward’s playing or participating in the above sport include, but are not limited to, falls, contact or collisions with other participants, equipment and facilities, and the effects of weather, including high heat and humidity (facilities are not air conditioned). I have certified to the director, by my signature below, that my child is in good health and physical condition and sufficiently able to participate in the above sport and the clinic. I will advise the director of any limitations on my child’s/ward’s activities for medical reasons in writing below. Knowing and having been informed of the potential dangers and risks associated with playing the above sport, and in consideration of my child/ward being allowed to participate in the clinic, I hereby agree on behalf of myself, my family members and my child/ward to assume all such risks and, further, to waive, release, discharge and hold harmless the school district of Santa Rosa County Florida, the Gulf Breeze High School Soccer Program, its director and their respective employees from any and all liability, actions, causes of actions, claims or demands for personal injury and/or illness of any kind or nature, and any other claims whatsoever arising out of, or in any way connected with, my child’s/ward’s playing and participating in the above sport and clinic. I fully understand that the clinic participant will be held responsible for all property damage. This Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown.

Our top priority is the safety of your children. If lightning is seen or within a 10 mile radius, all play must be stopped and all players/parents must evacuate the fields. We will congregate inside and will not return to the fields until 20 minutes after the last lightning strike.

Please check the box below after you have read the above statements. *
Have you read and accept the above Waiver/Release form? *
Any known Medical Issues/Limitations we should be aware of for your child? *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy