Home About Us Programs Events Donations & Sponsors Volunteers Media Links & Resources Store
Sign up for a Lesson!Winter ProgramsSummer RecreationCompetition
AbilityCAMPSoccer AbilityLEAGUENSCD-Kansas City

Denver
San Diego
Kansas City
Chicago
Registration

Soccer AbilityLEAGUE

AbilityLEAGUE:
Participant First Name:
Participant Last Name:
Disabilities:
Address:
City:
State:
Zip Code:
Phone (Home):
Phone (Cell):
Email Address:
Age:
 

AbilityLEAGUE Participant Waiver of Liability

As the parent or guardian of the registered player, I hereby give my consent for emergency medical care prescribed by a duly authorized Doctor of Medicine, Doctor of Dentistry, Emergency Medical Technician, or Certified Athletic Trainer. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent.

I, the parent/guardian of the participant, a minor, agree that I and the participant will abide by the rules of the assigned Soccer Club, IYSA, CYSA, MYSA, KYSA and their affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for this Soccer Club accepting the participant for its soccer programs and activities, I hereby release, discharge and/or otherwise indemnify the NSCD, assigned Soccer Club and its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the programs, against any claim by or on behalf of the participant as a result of the participant's participation in the programs. I further agree that the only obligation created with this Soccer Club is to coordinate with the NSCD the placement of the registrant on a team and that the registration fees are non-refundable.

Agree: Yes
No
Photo Release
I grant permission for Participant's picture to be used in publicity or brochures related to this event.
Agree: Yes
No
Participant Name:
Date:
Sign here: __________________________
Please print this page out and bring it to the camp with you.


P.O. Box 1290, Winter Park, Colorado 80482 USA phone: 970.726.1540 or 303.316.1540 Fax 970.726.4112
Denver Office: 633 17th Street, #24, Denver, CO 80202 phone: 303.293.5711 Fax 303.293.5448 Email:
info@nscd.org

HomeAbout UsProgramsEventsDonations & SponsorsVolunteersMediaLinks & ResourcesNSCD-KC

Copyright 2004 National Sports Center for the Disabled. All rights reserved worldwide.
Website design by
EhrenWerks, LLC.