CLINICS MIAMI

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#1 PLAYER'S INFORMATION

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Good


No exchanges or returns.
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PARENTS/GUARDIAN INFORMATION

#1 PARENT/GUARDIAN

#2 PARENT/GUARDIAN (OPTIONAL)

ADDRESS


WAIVER OF LIABILITY AND DISCLAIMER:

I, the parent or legal guardian of the named player above, acknowledge that I am completely aware of the inherent risks associated with soccer, and herby waive, release and discharge PARIS SAINT-GERMAIN ACADEMY FLORIDA, US Champions Soccer Academy LLC, or FC Miami City LLC as well as their officers, directors, and agents (collectively, the “Released Parties”), from any and all liability and responsibility in the event that I or the player become injured in any way during our participation in soccer events or activities associated with the Released Parties. I further state that I take full responsibility for any injury that may occur as a result of my or player’s participation, and that I will not hold the Released Parties responsible for any aggravation or preexisting injuries prior to or during my or player’s participation in any soccer events or activities associated with the Released Parties. If the participants has a chronic medical condition such as diabetes, seizure disorder, severe allergies or mental health disorder there might be special requirements that are applicable for the athlete to attend to Paris Saint-Germain Academy's programs. Please refrain from registering online and contact us at [email protected] to register.

I agree and certify that I have read the terms above.

EMERGENCY AUTHORIZATION:

I, the parent or legal guardian of the named player above, authorize US Champions Soccer Academy LLC, FC Miami City LLC their volunteers or representatives to act as my agent(s) to consent to medical, surgical or dental examination and/or treatment at a hospital or other health facility in an emergency where I can not be reached. I verify the named player above has no injury, or other conditions which would affect his/her ability to participate, or that I have advised in writing this organization of that condition, including my physician’s name, and confirm the ability of the named player below to participate regardless.

I agree and certify that I have read the terms above.

FEES INCLUDE:

Full training sessions and PSG Academy Nike Training jersey.

I agree and certify that I have read the terms above.

INTERRUPTIONS AND CANCELLATIONS:

Any interruption or cancellation request does not terminate the financial liability towards the club. All fees will be due and all collected fees will be retained by the PSG Academy Florida.

I agree and certify that I have read the terms above.

WEATHER CONDITION:

The organization of Paris Saint-Germain Academy might discontinue training during clinics under severe Weather condition such as Heavy Rain, Thunderstorms, Tropical Storms, and Hurricanes. No refund can be claimed for a cancellation due to adverse weather conditions.

I agree and certify that I have read the terms above.

ACKNOWLEDGEMENT AND CONSENT:

I have read and understood the policies and procedures of US Champions Soccer Academy and FC Miami City FC and verify all information provided herein in all manners is true and correct. I agree/consent to the internal and external use by US Champions Soccer Academy and FC Miami City of mailing address and/or email address, photographs or any other means of electronics communication of the named player, with no compensation.

I agree and certify that I have read the terms above.

INFORMED CONSENT/INSURANCE NOTICE

US CHAMPIONS SOCCER ACADEMY LLC RECOMMENDS TO ALL PLAYERS TO HAVE MEDICAL INSURANCE. NO INSURANCE COVERAGE IS PROVIDED IN CASE OF PHYSICAL ACCIDENT OR ANY KIND OF DAMAGE OR LOSSES TO PERSONAL PROPERTIES AND BELONGINGS.

INFORMED CONSENT: I, the parent/guardian of the registrant, agree that we will abide by the rules of US Champions Soccer Academy LLC, FC Miami City LLC. I/we realize risks are involved in my/our child’s participation. I/we understand that the risk to my/our child includes full range of injuries from minor to severe, and the result could be death, paralysis, or other serious, permanent disability. I/we accept this risk as a condition of my/our child’s participation.
.

I agree and certify that I have read the terms above.

WAIVER AND RELEASE FROM LIABILITY

In consideration of being permitted to compete or for any purpose participate in any way in the related activities, EACH OF THE UNDERSIGNED for himself, his personal representatives, heirs, next of kin, acknowledges, agrees and represents as follows:

  • HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE “US Champions Soccer Academy LLC”, “FC Miami City LLC”, and their affiliates or their employees, officers, directors and consultants, the promoters, participants, operators, officials, sponsors, advertisers, owners and lessees of premises used to conduct the activities and the programs and each of them, their officers and employees, all for the purposes herein referred to as “Releasees”, from all liability to the undersigned, his personal representatives, assigns, heirs, and next of kin for any and all damage, and any claim or demands therefore on account of injury to the person or property or resulting in the death of the undersigned, whether caused by the negligence of the Releasees or otherwise while the undersigned is competing or for any other purpose participating in the Programs. HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE or for any other purpose participating in the Programs.
  • EACH OF THE UNDERSIGNED expressly acknowledges and agrees that the Programs may be dangerous and may involve the risk of serious injury and/or death and/or property damage. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State of Florida in which the Programs are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representation, statements or inducement apart from the foregoing written agreement have been made.

I agree and certify that I have read the terms above.


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