PARENT/GUARDIAN WARRANTS & CONSENTS: Notice of Release of AFFC
I am (We are) the parent(s)/guardian(s) of the named minor child/player (PLAYER) listed on this form. In consideration for the
PLAYER to be a participant in the try-out process with the Allegheny Force Football Club (AFFC) soccer program (PROGRAM). I (We) have
read and fully understand the following:
- The sponsored activity, soccer, is an active contact sport that entails certain athletic risks and hazards that can cause
injuries to PLAYER.
- No physical examination to determine the general health and well-being of the PLAYER has been requested by AFFC.
- Any such examination is the sole responsibility of the parent(s)/guardian(s).
- AFFC does NOT insure PLAYER under any accident, medical, or liability insurance program and has no responsibility to do so.
I (We) agree:
- The player is authorized to fully participate in all events of this try-out.
- The PLAYER has no known previous or existing injuries physical or mental condition or incapacities that would increase the normal risk and hazards incidental to participation in the PROGRAM and hereby release AFFC and any of its authorized personnel from any damages arising out of injuries incurred by the PLAYER.
- To assume all risks and hazards incidental to PLAYER participation in the program and hereby release SU and any of its authorized personnel from any damages arising out of injuries incurred by the PLAYER.
- Any insurance provided by or for the parent(s)/guardian(s) shall by considered primary to the full amount of that insurance coverage to the extent any injury sustained by the PLAYER is covered by such insurance and, in the event SU provides such insurance, it shall be secondary to the full amount of the insurance provided by or for the parent(s)/guardian(s).
By clicking on the "I Agree to the Terms and Conditions" checkbox and submitting the form, I (We) give my (our) consent for AFFC
authorized representatives (e.g. coaches) for emergency medical treatment for the above PLAYER in the event of my (our) absence
at the time of injury.
I have read and agree to the “Notice of Release” as stated on this form and hereby warrant information on this registration is
accurate and factual.
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