Player Registration

2018 Alliance FC Pre-Tryout Camp - (Summit SC)

Option:  

Required  Price: $0.00
Description: May 29 & 30th, June 5 & 6
 = Required Field

 Player Information

 
 
 
 
  Select Month/Day/Year
 Emergency Contact 
 Emergency # 
Comments 

 Medical and Media Release

I give permission for our son/daughter to participate in this Alliance FC event. We understand that participation in an athletic event of this nature involves certain risks both soccer and non-soccer related. I/we hereby authorize the coaches, trainers and chaperones of Alliance FC to make decisions to proceed with any critical medical or surgical treatment required for my son/daughter provided an attempt to notify me/us has first been made. I/we agree to be responsible for any and all costs that may be incurred as a result of treatment and care. I/we agree to not hold Alliance FC and/ or its staff liable or responsible for injury while participating in, or travel to or from, camp activities.
I do hereby give Alliance FC their assigns, licenses, and legal representatives the irrevocable right to use the name [or any fictional name], picture, portrait, photograph, image, or voice of the player registered above in all forms and media and in all manners, including composite or purpose, and I waive any right to inspect or approve the finished product, including written copy, that may be created in connection therewith. I also agree that this releases Alliance FC and any and all of its representatives from any and all monetary obligations or payments to me or any or all of my authorized representatives for use of video, films, photographs, image and/or voice of the player registered above. I am of full legal age and am the legal guardian, parent, or duly authorized legal representative of the player registered above. I have read this release and am fully familiar with its contents. 

 CONTACT INFORMATION

GUARDIAN #1

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 
GUARDIAN #2

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 

 Refund Policy

 Contact Info