Faith Academy 4th-6th Grade Union 10 FC Soccer Camp Sign-Up and Waiver
Sign-Up for Faith Academy 4th-6th Grade for Soccer Camp on November 8th
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Grade Level *
Gender *
Soccer Experience *
Are there any details about your child that you would like to add so that the coaches are better prepared before going into the camp?

UNION 10 FC  - Mobile Union of Schools Soccer Camps

MEDICAL RELEASE/LIABILITY WAIVER

 

Recognizing the possibility of physical injury associated with soccer and in consideration for Union 10 FC, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, and its affiliates accepting the registrant for its program(s), I hereby release, discharge and/or otherwise indemnify the aforesaid Union 10 FC, their sponsors, the USSF and its affiliated organizations, the City of Daphne and City of Mobile and their affiliated organizations and sponsors, their employees and associated personnel against any claim by or on behalf of the registrant as a result of the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize. I understand that medical insurance is not the responsibility of the Union 10 FC, their sponsors, the USSF and its affiliated organizations, the City of Daphne and City of Mobile and that primary insurance coverage is my responsibility.

My son/daughter is physically capable of participating in the Union 10 FC Mobile Union of Schools Soccer Camp. for which I am signing them up for.

I hereby give my consent to have a certified coach/athletic trainer and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment. I authorize and hereby give my consent for any and all emergency medical and hospital care and treatment, including major surgery, deemed necessary by a duly licensed physician when it is impossible for me to give consent or to be contacted in a timely manner due to a life threatening or possible permanent injury or illness and I agree to be responsible for the reasonable financial cost of such assistance, care and/or treatment.

This Medical Release and Liability Waiver shall be effective upon submission of this registration and shall continue in effect until my child is no longer a participant in said program.

I/we further give permission to have our child’s photographs/images used by Union 10 FC and its affiliates for news releases, website, advertising, brochures, flyers and any other media for informational or promotional purposes.

Conduct:

• Parents/Players are NOT to use Social Media in a manner that negatively impacts their school, students, coaches, Union 10 or other organizations with whom we may be affiliated with. 

• Parents/Players engaging in behaviors detrimental to the organization, including but not limited to, throwing of equipment, physical violence towards another person, disrespectful behavior, disruptive behavior and outbursts, all may result in removal from the camp.

• Only coaches, school officials, and players are permitted in the playing area during the camp.

Please sign below stating that you have agreed to the above waiver, terms, and regulations for the Union of Schools Soccer Camp.
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mobile County Public School System. Report Abuse