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High Soccer Prospects TRYOUTS

Waiver Form 2021/2022

1. I do hereby that me/my child is not having any signs or symptoms of respiration infection, including difficulty breathing; Fever; Chills; Muscle pain; Sore throat; also he didn’t travel outside USA on the past 14 days and din’t have shortness of breath or difficulty breathing; Fever; Chills; Muscle pain; Sore throat; also he didn’t travel outside USA on the past 14 days and din’t have shortness of breath or had any contact with COVID-19 patient.

2. Recognizing the possibility of injury associated with soccer and in consideration for High Soccer Arena programs, I hereby fully and forever release and discharge High Soccer Arena, their employees or any of its representatives, coaches, assistants, agents or assigns, including the owners of fields and facilities utilized for programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the programs.

3.. In consideration for accepting me/ or my child into the High Soccer Arena, I do hereby agree that I am and shall be responsible for all costs associated with any injury or loss that may be sustained by my child as a result of his or her participation in any activities at the field. I further understand that in the event of a medical emergency, High Soccer Arena will call Emergency Medical Services to render assistance and that I will be financially responsible for any expenses involved

4. Waiver of Liability: In consideration of being permitted to play soccer, on behalf of myself, my family, my heirs, and my assigns, I hereby release High Soccer Arena, its agents, and its employees from liability for injury, loss, sickness or death to the above-mentioned participant while using any facility or equipment or in any way associated with participating in the activity of soccer now or in the future, resulting from the ordinary negligence of High Soccer Arena, its agents and employees.

Attention: Our Soccer goals are not bolted to the ground, is not allowed to climb on the goals, is extremely prohibited playing soccer at this area, the lights may breaks and it's very dangerous.

Our Fields are made with acrylics on the face parts, is not allowed to hit it using your feet or hands with the intention of breaking it.

 

 

 

 

 

 

 

Date: April 22, 2021

First Player(s) Name

First Name*

Middle Name

Last Name*

Phone*
First Player(s) Date of Birth*
First Player(s) Signature*
Second Player(s) Name

First Name*

Middle Name

Last Name*
Second Player(s) Date of Birth*
Third Player(s) Name

First Name*

Middle Name

Last Name*
Third Player(s) Date of Birth*
Fourth Player(s) Name

First Name*

Middle Name

Last Name*
Fourth Player(s) Date of Birth*
Fifth Player(s) Name

First Name*

Middle Name

Last Name*
Fifth Player(s) Date of Birth*
Sixth Player(s) Name

First Name*

Middle Name

Last Name*
Sixth Player(s) Date of Birth*
Seventh Player(s) Name

First Name*

Middle Name

Last Name*
Seventh Player(s) Date of Birth*
Eighth Player(s) Name

First Name*

Middle Name

Last Name*
Eighth Player(s) Date of Birth*
Ninth Player(s) Name

First Name*

Middle Name

Last Name*
Ninth Player(s) Date of Birth*
Tenth Player(s) Name

First Name*

Middle Name

Last Name*
Tenth Player(s) Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 16 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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
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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