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Players Date of Birth
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2019-12-13 Zone 1 Training Program at Ophir Field Both - - 12/13/2019, Ophir Field, 10577
Parent or Guardian Contact Details
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Parent Email 1st Choice
Parent Email 2nd Choice
Parent Phone Number
• Photography & Image Waiver
Select Soccer, National Center of Excellence (NCE), NY Club Soccer League (NYCSL), Nike and others may be photographing, interviewing, filming and promoting NCE Programs, and the participants, for advertising, promotional or other commercial purposes. In consideration for the opportunity for my child’s participation in the Center of Excellence program, I hereby grant Select Soccer LLC a perpetual, irrevocable, royalty free, worldwide, non-exclusive right and license (including but not limited to copyright throughout the world and moral rights) to use, adapt, modify, reproduce, distribute, publicly perform and display my child’s photograph, portrait, image, performance, visual likeness, name, nickname, signature, voice, or identifiable attributes, whether still, motion, video, digital, or in any other medium now known or later developed for purposes of promoting select Soccer LLC, NCE, NYCSL, or Nike. Without limiting the foregoing, the rights granted herein authorize Select Soccer LLC, NCE, NYCSL and Nike to use any of the above content by incorporating it into publications, catalogues, brochures, books, websites, DVDs, magazines, photo exhibits, films, videotapes, or any other media, without any obligation or liability to me, my spouse or companion, or my child.
I HAVE READ THE ABOVE TERMS CAREFULLY, FULLY UNDERSTAND ITS CONTENT, AND VOLUNTARILY AGREE TO ITS TERMS. *
• Parental Waiver, Release of Liability, Indemnification and Consent Form
I, as the parent or legal guardian of the child receiving this invitation to participate in Select Soccer LLC's Center of Excellence Program, do hereby give my full consent and approval for my child to participate in any and all Select Soccer LLC NCE events, including COE and NCE Select Team participation.
I fully understand that there are risks associated with playing soccer, such as injuries, concussions, and in some cases death, inherent in the practice and play of soccer, as well as in traveling, use of Select Soccer LLC/NCE facilities, and other related activities incidental to my child’s participation, and I am willing to assume these risks on behalf of my child. These risks include, but are not limited to, those hazards associated with weather conditions, travel, playing conditions, equipment, and other participants including coaching and administrative staff.
I understand that the very nature of the game of soccer is very demanding physically and mentally, and carries such risks that can cause serious injury or death to my child and other participants. Further, I agree that in consideration for the right to allow my child to participate in the National Center of Excellence event, and in consideration for permission to practice and play on the fields arranged by Select Soccer LLC:
1. On behalf of my child and myself, I do voluntarily elect to accept and solely assume all risks of injury incurred or suffered by my child (a) while practicing or playing as a member of the National Center of Excellence, participation in any National Center of Excellence event, and/or as a member of the NCE Select Team Program so designated, (b) while serving in a non-playing capacity as a member or observer during practice or play by other teams or by other players participating in the National center of Excellence and/or the NYCSL Select Team Program, and (c) while upon the premises of any and all of the fields, facilities arranged for by Select Soccer LLC for practice or play.
2. In addition to giving my full consent for my child’s participation, I do hereby irrevocably, unconditionally and forever waive, release, discharge, and agree not to sue the Select Soccer LLC, the owner or operator of any fields and facilities arranged by Select Soccer LLC, or any persons or entities that are connected with the National Center of Excellence and NYCSL Select Team Programs for any claim, damages, costs including but not limited to attorneys’ fees, or cause of action which I or my child have or may have in the future as a result of damages, injuries, including death, sustained or incurred by my child from whatever causes including, but not limited to, the negligence, breach of contract or wrongful conduct of the parties hereby released.
I hereby certify that my child is fully capable of participating in the physically demanding sport of soccer, and that my child is healthy and has no physical or mental disabilities or infirmities that would restrict full participation in any and all activities associated with the sport of soccer.
I further agree on behalf of myself and my child receiving the invitation to participate in the National Center of Excellence and/or NYCSL Select Team Program, that I shall hold harmless and fully indemnify the National Center of Excellence, the NYCSL Select Team Program, Select Soccer LLC, and each of their respective owners, members, managers, employees, agents and affiliates from any and all claims, damages, costs including but not limited to attorneys’ fees, and causes of action which may arise from any cause of action made by me or by, through or on behalf of my child, even if the damages, injuries or death are caused in whole or in part by any of the persons or entities hereby released.
I HAVE READ THE ABOVE TERMS CAREFULLY, FULLY UNDERSTAND ITS CONTENT, AND VOLUNTARILY AGREE TO ITS TERMS. I HAVE HAD THE OPPORTUNITY TO HAVE LEGAL COUNSEL REVIEW THIS LIABILITY WAIVER AND RELEASE, AND I AM AWARE THAT BY SIGNING THIS LIABILITY WAIVER AND RELEASE I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I, MY CHILD, OTHER MEMBERS OF MY FAMILY, AND OUR RESPECTIVE HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, REPRESENTATIVES, SUCCESSORS AND ASSIGNS MAY HAVE AGAINST NATIONAL CENTER OF EXCELLENCE, THE NYCSL SELECT TEAM PROGRAM, SELECT SOCCER LLC, AND THEIR RESPECTIVE MEMBERS, MANAGERS, EMPLOYEES, AGENTS AND AFFILIATES.*
Thank you for registering your child for this National Center of Excellence Zone 1 event.
48 hours prior to the first session, an email with full details will be sent to the email address you provided.
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