Reserve a Spot in one of our Training Programs

I understand that playing or participating in the above sport may be a potentially dangerous activity involving risk of injury. I understand that in any contact sport, such as the sport involved at AV Soccer Academy programs, an athletic participant can be seriously injured. I am aware that the dangers and risks of my child's/ward's playing or participating in the above sport include, but are not limited to, falls, contact or collisions with other participants, equipment and facilities, and the effects of weather, including high heat and humidity (facilities are not air conditioned). I have certified to the director, by my checking the box below, that my child is in good health and physical condition and sufficiently able to participate in the above sport and the camp. I have advised the director of any limitations on my child's/ward's activities for medical reasons in writing below. Knowing and having been informed of the potential dangers and risks associated with playing the above sport, and in consideration of my child/ward being allowed to participate in the camp, I hereby agree on behalf of myself, my family members and my child/ward to assume all such risks and, further, to waive, release, discharge and hold harmless the AV Soccer Academy LLC, its director and their respective employees from any and all liability, actions, causes of actions, claims or demands for personal injury and/or illness of any kind or nature, and any other claims whatsoever arising out of, or in any way connected with, my child's/ward's playing and participating in the above sport and camp. I fully understand that the camp participant will be held responsible for all property damage. This Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. 

I hereby consent to permit the coach and staff working for the AV Soccer Academy to provide emergency first-aid or medical treatment for my child/ward, according to their best judgment, in the event he/she suffers an injury or illness while participating in the camp or on the camp premises. 

The AV Soccer Academy is not responsible for personal items that are lost, stolen or damaged. I also understand that pictures taken at AV Soccer Academy programs may be used in any promotional materials.

For Players 18 years old or older: initial the paragraphs where it says “INITIALS:___” on pages 1 and 2, and then fill in your contact information and sign the form on pages 2 and 3.  

For Players under 18 years old: The player's parent/legal guardian must complete and sign the form. The parent/legal guardian needs to initial the form where it says “INITIALS:___” on pages 1, 2, and 3 and then complete page 3 of the Release and Waiver of Liability.  

The release and waiver of liability is not specific to any type of soccer training, but can be applied to any player who is going to be training with AVSoccer Academy, LLC.  
AV Soccer Academy, LLC Release & Waiver of Liability Form
Thank you!
We've reserved a spot for you in our training program and will be in touch shortly regarding payment and further details. Please note: Your final spot will be confirmed and participation in the selected program will not be finalized until payment is received.
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