Player Registration

2020-2021 Alliance Futbol Club Tryouts - Western Missouri Soccer Complex

Option:  

Required  Price: $0.00
Description: Alliance FC Tryout June 19-June 21, 2020 - Western Missouri Soccer Complex
 = Required Field

 Player Information

 
 
 
 
  Select Month/Day/Year
 
 
                    
 
 
 Player Parents: 
 Player Email: 
 Emergency Contact 
 Emergency # 
 How many years has your child played ?   
Comments 


 Liability Release

LIABILITY RELEASE

MUST be agreed to by parent or legal guardian of player.  Coaches must sign when completing form on self.

I, the parent or legal guardian of the above registered player, a minor, agree that I and the player will abide by the rules and regulations of the USYSA, its affiliated organizations, and sponsors ("USYSA Parties").  In consideration of the player's participation in the soccer Programs and activities of the USYSA Parties (the Programs), I, for myself and the player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify the USYSA Parties, the owners and operators of the facilities used for the Programs, and their respective directors, officers, employees, agents and representatives from and against all claims, liabilities, damages or causes of action arising out of or in connection with the player's participation in the Programs including, without limitation, player's transportation to/from any program, which transportation is hereby authorized.  I future grant the USYSA Parties the right to use the Player's name, picture and/or likeness in printed, broadcast and other material concerning the Programs provided such use is related to the player's status as a participant in the Program.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 and is extremely contagious and is believed to spread mainly from person-to-person contact.  Alliance Futbol Club, LLC (“AFC”) has put in place preventative measures to reduce the spread of COVID-19; however, AFC cannot guarantee that you will not become infected with COVID-19. Further, participation in youth sports in general, and soccer in particular, could increase you or your child’s risk of contracting COVID-19. 

READ CAREFULLY BEFORE SIGNING – INITIAL EACH PARAGRAPH

____ INITIALS By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child or I may be exposed to or infected by COVID-19 by participation; 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 during the participation in practices, games or other activities associated with AFC may be greater than should I chose not to participate.  Knowing that I hereby release, acquit and relieve AFC from any liability relating to my child or my exposure to COVID-19 resulting from the actions, omissions, or negligence of myself and others, including, but not limited to, AFC’s employees, volunteers, and program participants and their families.       

____ INITIALS I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that my child or I may experience or incur in connection with my participation at practices, games or other activities associated with AFC. On my behalf and on behalf of my child, I hereby release, covenant not to sue, discharge, and hold harmless AFC, 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 AFC, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation at practice, games or other activities associated with AFC.  

____ INITIALS I represent that I have adequate insurance to cover any injury or illness my child or I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or illness myself.  I further represent that neither my child or I have any medical or physical condition which could interfere with my child’s or my safety in this activity, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition. 

____ INITIALS In the event that I file a lawsuit, I agree to do so in the Circuit Court of Clay County, Missouri and I further agree that the substantive law of that state shall apply.I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

____ INITIALS By signing this document, I agree that if I am exposed or infected by COVID-19 during my child’s or my participation in this activity, then I may be found by a court of law to have waived my right on behalf of myself or my minor child to maintain a lawsuit against the parties being released on the basis of any claim for negligence. 

 

____ INITIALS I have had sufficient time to read this entire document and, should I have chosen to do so and to consult with legal counsel prior to signing.  Also, I understand that this activity might not be made available to me or that the cost to engage in this activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain.   I have read and understood this document and I agree to be bound by its terms. 

____ INITIALS If I have signed a separate general waiver of liability connected to my participation with AFC, I agree that the terms of that waiver are wholly incorporated into this document and that the terms of this document are incorporated into the separate general waiver. 

____ INITIALS  I agree that I will practice safe social distancing and clean hygiene during my or my child’s participation at practices, games or activities associated with AFC. 

Parent’s Signature                                                                                        Participant’s Signature                                                                                

                                                                                                                              (if over 18 years of age)

 

Address                                                                         City                                                               State                        Zip                             

 

Telephone (         )                                                        Date                                                              

 Signature and date   

 CONTACT INFORMATION

GUARDIAN #1

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

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

 Refund Policy

 Contact Info