ONLINE PRIVACY POLICY AGREEMENT

Central Jersey futsal is committed to keeping any and all personal information collected of those individuals that visit our website and make use of our online facilities and services accurate, confidential, secure and private. Our privacy policy has been designed and created to ensure those affiliated with Central Jersey Futsal of our commitment and realization of our obligation not only to meet but to exceed most existing privacy standards. THEREFORE, this Privacy Policy Agreement shall apply to Central Jersey Futsal , and thus it shall govern any and all data collection and usage thereof. Through the use of www.soccerskillz.net you are herein consenting to the following data procedures expressed within this agreement. Collection of Information This website collects various types of information, such as: • Voluntarily provided information which may include your name, address, email address, billing and/or credit card information etc., which may be used when you purchase products and/or services and to deliver the services you have requested. • Information automatically collected when visiting our website, which may include cookies, third party tracking technologies and server logs. Please rest assured that this site shall only collect personal information that you knowingly and willingly provide by way of surveys, completed membership forms, and emails. It is the intent of this site to use personal information only for the purpose for which it was requested and any additional uses specifically provided on this site. Central Jersey Futsal may have the occasion to collect anonymous demographic information, such as age, gender, household income, political affiliation, race and religion at a later time.We may also gather information about the type of browser you are using, IP address or type of operating system to assist us in providing and maintaining superior quality service. It is highly recommended and suggested that you review the privacy policies and statements of any website you choose to use or frequent as a means to better understand the way in which other websites garner, make use of and share information collected. Use of Information Collected Central Jersey Futsal may collect and may make use of personal information to assist in the operation of our website and to ensure delivery of the services you need and request. At times, we may find it necessary to use personally identifiable information as a means to keep you informed of other possible products and/or services that may be available to you from www.centraljerseyfutsalleague.com . Central Jersey Futsal may also be in contact with you with regards to completing surveys and/or research questionnaires related to your opinion of current or potential future services that may be offered. Central Jersey Futsal does not now, nor will it in the future, sell, rent or lease any of our customer lists and/or names to any third parties.

Central Jersey Futsal may deem it necessary to follow websites and/or pages that our users may frequent in an effort to gleam what types of services and/or products may be the most popular to customers or the general public. Central Jersey Futsal  may disclose your personal information, without prior notice to you, only if required to do so in accordance with applicable laws and/or in a good faith belief that such action is deemed necessary or is required in an effort to: • Remain in conformance with any decrees, laws and/or statutes or in an effort to comply with any process which may be served upon Central Jersey Futsal and/or our website; • Maintain, safeguard and/or preserve all the rights and/or property of Central Jersey Futsal ; and • Perform under demanding conditions in an effort to safeguard the personal safety of users of www.soccerskillz.net and/or the general public. Unsubscribe or Opt-Out All users and/or visitors to our website have the option to discontinue receiving communication from us and/or reserve the right to discontinue receiving communications by way of email or newsletters. To discontinue or unsubscribe to our website please send an email that you wish to unsubscribe to info@soccerskillzstore.com. If you wish to unsubscribe or opt-out from any third party websites, you must go to that specific website to unsubscribe and/or opt-out. Links to Other Web Sites Our website does contain links to affiliate and other websites. Central Jersey Futsal  does not claim nor accept responsibility for any privacy policies, practices and/or procedures of other such websites. Therefore, we encourage all users and visitors to be aware when they leave our website and to read the privacy statements of each and every website that collects personally identifiable information. The aforementioned Privacy Policy Agreement applies only and solely to the information collected by our website. Security Central Jersey Futsal shall endeavor and shall take every precaution to maintain adequate physical, procedural and technical security with respect to our offices and information storage facilities so as to prevent any loss, misuse, unauthorized access, disclosure or modification of the user's personal information under our control. T h e company also uses Secure Socket Layer (SSL) for authentication and private communications in an effort to build users' trust and confidence in the internet and website use by providing simple and secure access and communication of credit card and personal information. In addition, Central Jersey Futsal  is a licensee of TRUSTe. Changes to Privacy Policy Agreement Central Jersey Futsal  reserves the right to update and/or change the terms of our privacy policy, and as such we will post those change to our website homepage at www.centraljerseyfutsalleague.com, so that our users and/or visitors are always aware of the type of information we collect, how it will be used, and under what circumstances, if any, we may disclose such information. If at any point in time Central Jersey Futsal decides to make use of any personally identifiable information on file, in a manner vastly different from that which was stated when this information was initially collected, the user or users shall be promptly notified by email. Users at that time shall have the option as to whether or not to permit the use of their information in this separate manner. Acceptance of Terms Through the use of this website, you are hereby accepting the terms and conditions stipulated within the aforementioned Privacy Policy Agreement. If you are not in agreement with our terms and conditions, then you should refrain from further use of our sites. In addition, your continued use of our website following the posting of any updates or changes to our terms and conditions shall mean that you are in agreement and acceptance of such changes. How to Contact Us If you have any questions or concerns regarding the Privacy Policy Agreement related to our website, please feel free to contact us at the following email, telephone number or mailing address. Email: info@centraljerseyfutsal.com Telephone Number: 732.580.2174 Mailing Address: Central Jersey Futsal PO BOX 398 Jackson, New Jersey 08527 

 

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Central Jersey Futsal

 Medical Release Form

www.centraljerseyfutsalleague.com

732.580.2174


Review Privacy Policy

TODAY'S DATE: December 5, 2020

When arriving at the events please check in as we will have all registered players names on file. Players should wear masks while checking in. Parents please wear masks while social distancing and watching. Masks will be available on premises.


COVID-19 TESTING & PROTOCOLS​
*All players are participating in this event by their own choice and are releasing Central JErsey Futsal of any liability in the event of an injury including Covid-19. (Fill out complete insurance waiver)
*The event is designed to allow for a safe environment with the ability to social distance within grounds and between training players and games. Games will be no bigger than 10 players at a time on the court in an indoor environment.​
*Before every game we will also check all players temperatures.​
*All our coaches will wear masks when within 6 ft of players and will also ensure all equipment are sanitized between games.​
*Games will also have a time buffer between them so that groups arriving and leaving are reduced and so is gathering near venue.
​*We will always follow local, state and US Soccer guidelines.
 

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending a Central Jersey Futsal event and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at a Central Jersey Futsal event may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Central Jersey Futsal volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Central Jersey Futsal events (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Central Jersey Futsal, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Central Jersey Futsal, its employees, volunteers, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Central Jersey Futsal event.

PARENTS APPROVAL AND MEDICAL RELEASE

Recognizing the possibility of Covid 19 virus, physical injury associated with futsal/soccer and in consideration for Central Jersey Futsal l accepting the

registrant for its futsal/soccer programs and activities (the Programs), I hereby release, discharge and/or otherwise indemnify Central Jersey Futsal, its affiliated organizations and sponsors, their employees and associated personnel, including the owner of fields and facilities utilized for the Programs against any claim by or on behalf of the registrant as a result of the registrants participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.

My son/daughter has received a physical examination by a physician and has been found physically capable of participating in the Programs.  I hereby give my consent to have an athletic trainer and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the cost of each assistance and/or treatment. I grant to Central Jersey Futsal, the right to take photographs and or video of me and my family in connection with the above-identified event.  I authorize Central Jersey Futsal its assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree that Central Jersey Futsal may use such photographs and or video of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

Parent's Agreement: 

I Agree

Please select who will be participating...
Minor
Continue
First Player's Name

First Name*

Last Name*

Phone*
First Player's Date of Birth*
First Player's Information

Father's Name:

Phone:

Mother's Name:

Phone:

In an emergency when parents cannot be reached, please contact:


Name:

Home Phone:

Work Phone:

Medical Information


Allergies

Other medical conditions

Player's Physician Phone

Primary Medical Insurance Company

Policy Holder

Policy #

Group #

List any allergies including bee stings, hives, asthma
Circle if applicable:
I use epi pen
I use inhaler

If Yes, indicate Type:
My child can use this independently
Will the participant be taking any medications while attending the training/camp?

If yes, what?
Are there special considerations with regard to this medication?
Does the participant have any current or recent health problems? (Example: diabetes, epilepsy, recent surgery, injury, etc.)

If yes, please describe (include dates of occurrence)

Program Description:

Session #:

Fee:

Session Dates:

Session Location:
First Player's Signature*
Player's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
info@centraljerseyfutsal.com
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Father's Name:

Phone:

Mother's Name:

Phone:

In an emergency when parents cannot be reached, please contact:


Name:

Home Phone:

Work Phone:

Medical Information


Allergies

Other medical conditions

Player's Physician Phone

Primary Medical Insurance Company

Policy Holder

Policy #

Group #

List any allergies including bee stings, hives, asthma
Circle if applicable:
I use epi pen
I use inhaler

If Yes, indicate Type:
My child can use this independently
Will the participant be taking any medications while attending the training/camp?

If yes, what?
Are there special considerations with regard to this medication?
Does the participant have any current or recent health problems? (Example: diabetes, epilepsy, recent surgery, injury, etc.)

If yes, please describe (include dates of occurrence)

Program Description:

Session #:

Fee:

Session Dates:

Session Location:
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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