Youth Soccer Clinic Registration

Parent Full Name*

Email*

Phone*

Player Name*

Player Date of Birth*

Experience Level*

Preferred Position*

Upload Photo (headshot)*

Accepted file types: jpg, jpeg, Max. file size: 50 MB.

Photo must be a close up head/face photo in a vertical, upright position.
Pictures with hats, beanies, sunglasses, black and white pics or unrecognizable photos will not be processed
Please upload only jpg/jpeg photo format.

WAIVER AND RELEASE OF LIABILITY
In consideration of being allowed league participation in any way related to events and activities, I the undersigned acknowledge, appreciate, and agree that:
1. California Soccer League does not maintain player or spectator medical insurance for injuries arising out of league involvement.
The risk of injury from program activities and by virtue of participation is significant, I or minor children willingly risks bodily injury, including paralysis, dismemberment, death, and damage to property.
2. I knowingly and freely assume all such risk both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for myself and/or minor childrens’ participation.
3. I certify for myself and, or as the adult with legal responsibility for a minor participant, do consent and agree on my and his/her behalf of my heirs, assigns, personal representatives and next of kin HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS SAN DIEGO CALIFORNIA SOCCER LEAGUE, release and hold harmless and promise not to sue California Soccer League, its officers, agents or employees with respect to any and all such injury, paralysis, dismemberment, death. Its Officers, Officials, Agents and/or Employees, other Participants, Sponsors, Advertisers, and, if applicable, Owners and Lessors of premises used to conduct program activities; RELEASES from any and all claims, demands, losses, and liability arising out of, or related to all INJURIES, DISABILITIES, OR DEATHS’ I, family member, or minor children may suffer, or loss, or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 
4. I willingly agree to comply with terms and conditions of participation.  If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and immediately inform Official of occurring incident.
5. I agree to inform my child that he/she must follow the code of ethics for athletes, all safety rules, as well as any other guidelines identified during practices, games, or tournaments.
6. I hereby authorize and give my consent for medical care to be given in an emergency situation to the above named 
while he/she is participating in the above activity. 
7. I have read the PARENT/GUARDIAN CODE OF CONDUCT, and understand it and fully agree to abide by its rules/policies.
8. This agreement in binding on my heirs, personal representatives, next of kin, spouse and assigns. 
9. I am registering for CSL email and texts to receive schedules, registration dates, tournaments, soccer related announcements, and other important reminders. You will be able to e-mail and text CSL with questions and concerns. Signing up is free, and you are able to opt out anytime. 
10. I authorize the electronic use of my picture & personal information specifically for the purpose of league operations or team registration. The permission will continue until I revoke the permission in writing.

AS A PLAYER/ COACH PARENT / GUARDIAN ASSOCIATED WITH CSL, I AGREE TO THE FOLLOWING:

1. There will be no consumption of alcohol or smoking at any location that is associated with my practices and/ or games.
2. I understand that my vehicle is personal property but is included in the ban if parked in a parking lot.
3. I will aid my coach in the policing of other players on my team and others. If I witness a person smoking or consuming alcohol, I will alert my coach or a CSL official.

I READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS. UNDERSTAND THAT I’VE GIVEN UP SUBSTATIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Registration Fee

Price:

Credit Card*

American Express

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MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Clinic Soccer Registration

Title