Soccer Training Registration | Coach Fiston-Vancouver, BC Please enable JavaScript in your browser to complete this form.Soccer Player's Name *FirstLastPlayer's Date of Birth *MM/DD/YYYYAre you over 18?YesNoParent/Guardian's name *FirstLast all Address agreement Parent/Guardian email *Parent/Guardian phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWhich soccer club do you play for? *Shirt Size YSYMYLASAMALAXLGoalkeeping Glove SizeN/A567891011Check all positions previously played *GoalkeeperRight BackLeft BackCentral BackSweeperStrikerDefenderN/A - New PlayerPermission & agreement *I agree and give my permissionCoach Gakwandi Fiston Soccer Program - Accident Waiver and Release of Liability Please read the following information carefully before your child participates in the soccer program with Coach Gakwandi Fiston. Understanding the Risks Participating in any physical activity involves inherent risks. Soccer, despite being a controlled sport, can still lead to injuries. This waiver outlines the potential risks associated with participation in the program and aims to ensure you understand your responsibilities as a parent/guardian. Waiver of Liability By allowing your child to participate in the soccer program with Coach Gakwandi Fiston, you agree to the following: Assumption of Risk: You acknowledge and assume all risks associated with your child's participation in the program, including those arising from negligence or unforeseen circumstances. Medical Fitness: You certify that your child is physically fit and has no medical conditions that would preclude safe participation in the program. Release of Liability: You waive, release, and discharge Coach Gakwandi Fiston, his employees, volunteers, and agents from any and all liability arising from your child's participation in the program, including injuries, property damage, or any other unforeseen events. Indemnification: You agree to hold harmless and indemnify Coach Gakwandi Fiston from any claims or lawsuits resulting from your child's participation in the program. Medical Treatment Consent: You grant permission for program staff to seek medical treatment for your child if deemed necessary in the event of an injury or illness. Photo/Video Release: You understand that photos and videos may be taken during the program and agree to their use for promotional purposes related to Coach Gakwandi Fiston's soccer programs.Submit