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Player Info

Parent or Guardian

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Player's name

Player's gender?

Date of birth *

Previous club and level:

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Waiver

We, the registrant and the registrant's legal parent or guardian, Recognize the possibility of physical injury associated with soccer and in consideration for VC Oaks accepting the player for its soccer program (“Program”), I hereby release, discharge and/or otherwise indemnify VC Oaks, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Program, against any claim by or on behalf of the player as a result of the players participation in the Program. I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent. I hereby give my consent to VC Oaks to take photographs, video recordings, and/or sound recordings of the above named player in documenting the activities of VC Oaks programs. I grant VC Oaks permission to use the negatives, prints, motion pictures, video/audio tapings, or any other reproduction of the same for educational and promotional purposes in manuals, on flyers, on the world wide web, or in other publications. We have read this release and waiver of liability and fully understand its terms. We understand that we waive substantial rights by signing this form. We agree to waive all such rights above including the right to file a legal action or assert a claim for personal or physical injury or death of any kind. We sign this release form freely of our own free will. *

I/We have read, understand and agree to comply with the Mission Statement as outlined above.

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

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