Player and Parent Contact Information

Please enter your players information and your contact information.  This will allow us to contact you with any last minute changes to our tryout schedules.  If your player played for another club or a previous year, please let us know in the comments section below

* Player First Name

* Player Last Name

* Player Birthdate

Date / Time
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* Parent Name

* Parent Email

* Parent Phone

* Additional Comments

Waiver & Release of Liability

I understand that there are risks involved with my child’s participation in the Vista Storm Soccer Club (VSSC) competitive soccer tryouts.

I hereby authorize the directors of VSSC to act for me according to their reasonable judgment in any emergency requiring medical attention. I hereby waive and release the directors of VSSC 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. I certify that there are no physical limitations to my child’s participation in tryouts. Permission is granted for my child to receive emergency medical treatment if needed. I hereby release and forever discharge VSSC 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 VSSC 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.

I hereby release Vista Storm Soccer Club and the California Youth Soccer Association – South, its member leagues, teams, agents, officers, coaches and players from all liability or responsibility for any claim, damage or legal action on behalf of the player or the player’s parents, heirs, or personal representatives, arising from any injury the player may sustain while participating in soccer or related activities, including transportation, except to the extent and in the amount covered by the CYSA-South accident reimbursement plan.

 

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