Soccer Training Registration | Coach Fiston-Vancouver, BC

Soccer Player's Name *

First

Last

Player's Date of Birth *

MM/DD/YYYY

Are you over 18?

Yes
No

Parent/Guardian's name *

First

Last

Parent/Guardian email *

Parent/Guardian phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Which soccer club do you play for? *

Name you you

Shirt Size

Goalkeeping Glove Size

Check all positions previously played *

Permission & agreement *

I agree and give my permission

Coach 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.