Player Registration

If you have any questions about this registration form, please send an email to: [email protected]



Parent

The coupon will be applied in the next page

Child/Player(s)

Players have to be between the ages of 8 - 12
Please indicate what level of soccer your child currently plays. Where possible, this will help us group your child with other kids of the same level.
If you send 10 kids from one of these group type, we will give you $450. Learn more
I authorize letting my child walk home at the end of the day.

Must be someone other than parent/guardian

Costs

$295.00
$35.00

Informed Consent Agreement

DISCLAIMER CLAUSE

Free Footie Soccer Society and its officers, directors, agents, contractors, employees, coaches/instructors, referees, volunteers, members and representatives (all hereafter collectively referred to as “Free Footie”), is not responsible for any participant’s death, injury, loss or damage of any kind sustained by any person while participating in any of the activities provided, organized or arranged by Free Footie and all such related activities (all hereafter collectively referred to as “Free Footie Activities”) except to the extent that such injury, loss or damage was caused by the negligence of Free Footie.

DESCRIPTION OF ACTIVITIES

The following Free Footie Activities that your child may participate in with Free Footie include, but are not limited to:

  • Participation in scheduled soccer games and practices;
  • Participation in tournaments;
  • Participation in camps;
  • Travel to and from scheduled games, practices, tournaments and camps.

ASSUMPTION OF RISK

In consideration of my child’s participation in Free Footie Activities, I and my child acknowledge that we are aware of, appreciate and accept the inherent physical risks and the other possible RISKS, DANGERS,  AND HAZARDS associated with being a participant, including the possible risk of severe or fatal injury to my child or others. These risks include but are not limited to:

  • All manner of injuries resulting in muscular injuries and soft tissue injuries including bruises, scrapes, cuts, etc.
  • All manner of injuries resulting from the failure of apparatus/equipment;
  • All manner of injuries resulting in dislocations, concussions, hematomas, whiplash, contusions, sprains, pulled or strained muscles, knee injuries, and broken bones;
  • Transmission of diseases in various ways and types from contact with other participants resulting in death, disease or other illnesses;
  • All manner of head, neck, spinal, facial, eye, nose and/or dental injuries;
  • All manner of injuries and/or death that may result from transportation to and from Free Footie Activities;
  • Heat stroke, sunstroke, heat cramps or hypothermia which may result from extreme changes in weather or temperatures suffered by my child while participating in Free Footie Activities;
  • Medical problems arising before, during or after participation in Free Footie Activities;
  • Allergic reaction to food, plants, chemical and animal or insect life;
  • That my child’s risk of injury increases as they become fatigued;

ACKNOWLEDGMENT OF RESPONSIBILITIES

The parent/guardian and the participant understand and acknowledge the following:

  1. TO FOLLOW all the instructions and rules given by those responsible for or in charge of Free Footie Activities while my child is a participant and participating in Free Footie Activities.
  2. TO OBEY all the instructions and rules pertaining to Free Footie Activities.

CONDITION OF REGISTRATION

The parent/guardian and the participant understand and acknowledge the following:

  1. That participation in Free Footie Activities includes physical contact and to the best of my/our knowledge the participant is in good health and able to participate in all Free Footie Activities;
  2. I understand that the participant should undergo a physical examination with a physician prior to any involvement in Free Footie Activities;
  3. That the participant will wear the shin guards;
  4. Should the participant be injured during Free Footie Activities I/we give permission to Free Footie to arrange for emergency medical treatment.

By checking the box, I acknowledge that I have read and understand this agreement, that I understand, appreciate and accept the risks associated with my child’s participation in Free Footie Activities, I consent for my child’s participation in Free Footie Activities.

(You must read all text and check boxes where appropriate prior to checking this box)

Photo Release

The Free Footie Soccer Society is requesting permission to photograph, videotape and/or interview your child participating in Footie Camp. The images will be used by the Free Footie Soccer Society for Footie Camp promotional materials (print publications and/or online). Images, video or audio recordings posted online may include, but are not limited to, public websites, blogs, podcasts, social media (i.e., Twitter, Flickr, YouTube, Facebook, Instagram, etc.) and other emerging technologies. These audio and video images may be used for as long as they are relevant and valid.

You may revoke your permission at any time by contacting Dana Adams, volunteer board member of the Free Footie Soccer Society, at [email protected] or 780-643-8764. Please note that images and clips posted on public websites may be available on the Internet indefinitely, even after they are removed from our website or social media platforms.

Under the Personal Information and Protection Act, your permission is required for the above to take place. I understand that by clicking agree to this section I consent to having my child videotaped, photographed and/or interviewed and used for the above stated purpose(s).