SUSPENDED FORM

PLAYER NAME

Gender

Female‎ Male‎

PLAYERS DATE OF BIRTH - Please enter player's DOB Correctly!!!

Parent Name

Parent Email

Parent Phone

SELECT LAST YEARS PLAYING EXPERIENCE

Did not play competitively‎ Played for Fallbrook Villa‎ Played competitive for another club‎

Waiver & Release of Liability
I understand that there are risks involved with my child’s participation in the Fallbrook Villa FC competitive soccer tryouts.
I hereby authorize the directors of Fallbrook Villa FC to act for me according to their reasonable judgment in any emergency requiring medical attention. I hereby waive and release the directors of Fallbrook Villa FC from all liability and agree to accept all medical expenses incurred. I know of no physical or mental problem that will affect my child’s ability to safely participate in these tryout sessions. I acknowledge and accept the conditions above with my signature below.
I certify that my child is in good health, and may participate in strenuous physical activities at the tryouts or camps. I certify that there are no physical limitations to my child’s participation in the tryouts or camps. Permission is granted for my child to receive emergency medical treatment if needed. I hereby release and forever discharge Fallbrook Villa FC/Fallbrook Youth Soccer and all their agents, employees and affiliated entities from any and all liability, claims, demands, and cause of action for personal injury or death, property damage, and/or other loss suffered by my child in connection with his/her participation in the tryouts. I acknowledge and accept that this Release and Waiver is intended to be binding on the family, estate, heirs, executors, administrators and assigns of the minor named above. I further acknowledge and accept that this Release and Waiver is intended to be as broad and inclusive as permitted by the laws of California and agree that if any portion of this release and Waiver is invalid, the remainder will continue to be in full force and effect. I agree that this Release and Waiver binds the minor and me to all of its terms.
I hereby grant permission to Fallbrook Villa FC and its legal representatives, assigns, and those acting on its behalf, to use any picture, video or audio recording of my child taken in connection with the tryouts for all manner of advertising, trade, promotion, exhibition, or any other lawful purpose related to youth soccer whatsoever and in any form or medium.