Starfinder Foundation Winter League - Youth Athletic Waiver and Release of Liability 2020
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Permission Waiver
As the parent or legal guardian of the minor child listed on this form, I give permission for him/her to participate in a Starfinder League. I understand that this permission slip includes my permission for my child to participate in soccer at Starfinder which will be supervised by Starfinder staff. *
I understand that Starfinder assumes no responsibility for seeing to it that the minor reports to activities at the Starfinder sponsored program, and I, on my own behalf and on behalf of this minor, waive all claims for any liability arising or actions occurring before the minor has reported to the Starfinder program. *
Liability Release
I, the parent/guardian of the minor, agree that I and the minor will abide by rules set forth by Starfinder. *
My child has received a physical examination and has been found physically capable of participating in soccer. *
Recognizing the possibility of physical injury associated with soccer and physical activity and in consideration for Starfinder accepting minor for its program, I assume all risks and hazards incidental to athletic participation and hereby release, discharge and/or otherwise indemnify Starfinder, its officers, directors, coaches, sponsors, volunteers, agents and affiliates, against any claim by or on behalf of the minor as a result of the minor's participation in soccer. *
Permission to Use
I grant permission to use photographs/videography of my minor child in print or online materials designed for news, informational or educational purposes related to the Starfinder Foundation. *
Youth's first name *
Youth's last name *
Youth's Date of Birth *
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Youth's Gender *
Youth's Ethnicity (Please check all that apply) *
Required
Coach's Name *
Team Name (if known)
Guardian's First and Last Name *
Guardian's email address *
Guardian's phone number *
Guardian's home address (street) *
Guardian's City *
Guardian's State *
Guardian's Zip *
My initials below indicate that I have read, understood, and freely consented to this agreement. Further, I certify that I am over 18 years of age and that I am otherwise legally competent to consent to this agreement. *
Effective date: (today - date is automatically entered)
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