Club Soccer Registration

Membership Type

Child Information

I, the parent/guardian of the registrant, a minor, agree that the registrant and I will abide by the rules of ESS, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for ESS accepting the registrant for its soccer programs and activities (Programs). I hereby release, discharge and/or otherwise indemnify ESS, its affiliated organizations and sponsors, their employees and associated personnel, including the registrant as a result of the registrant, participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize. I further grant ESS Parties the right to use the player’s name, pictures and /or likeness in printed, broadcast and other material concerning the Programs provided such use is related to the player’s status as a participant in the Programs.

I give permission for my child, to participate in ESS. I assume all risks and hazards incidental to such participation, and hereby release ESS and its employees and agents from any and all liability arising from injury or injuries sustained by my child while participating in the academy and its activities. I also authorize the ESS to make decisions regarding and/or obtaining medical care for injuries and illness that affect my child. I further direct all medical or hospital facilities to accept this document as authorization to render emergency care to my child should it be deemed medically necessary. Responsibility for primary medical insurance coverage rests with the participant.