Waiver Form

Agreement to participate in A.P. Soccer Academy
Participation in all sports can be inherently dangerous and it is impossible to ensure the safety
of all participating individuals. Sports demands cardiovascular fitness, coordination, and
agility. Although many risks can be avoided, I understand that not all risks can be and release
A.P. Soccer Academy from responsibility for any injury that my child might incur during the
course of normal play.

I further understand that in the event of a medical emergency, A.P. Soccer Academy will call
EMS to render assistance and that I will be financially responsible for any expenses involved.
While playing sports, accidents do happen.
Some of these accidents may be minor like collisions with other players, collisions with the ground, and being struck by the ball.
Other injuries may also include:
• minor injuries like scrapes, bruises, strains, blisters, and sprains:
• more serious injuries liken broken bones, concussions, muscle tears, and ligament
tears; catastrophic injuries like heat stroke, cardiac arrest, and death

To reduce the risk of injury, participants are expected to abide by the following rules: all
participants are expected to be physically fit before participating in a A.P. Soccer Academy
class all players must adhere to the rules of soccer, thus creating a safe playing environment.

The above-mentioned participant agrees to follow the preceding safety rules, all posted safety
rules, and all rules common to the sport. Further, the above-mentioned participant agrees to
report any unsafe practices, conditions, or equipment to the A.P. Soccer Academy instructor.

I certify that the above-mentioned participant
1) possesses a sufficient degree of physical fitness to safely participate in sports,
2) understands that he/she is to discontinue activity at any time he/she feels undue discomfort or stress, and
3) has indicated in the "Special Needs" section any health-related conditions that might affect his/her ability to play sports and he/she will verbally inform the A.P. Soccer Academy instructor immediately.
I have read the preceding information and it has been explained to me. I know, understand,
and appreciate the risks associated with participation in sports and I am voluntarily
participating the above-mentioned participant in the activity. In doing so, the above-
mentioned participant is assuming all of the inherent risks of the sport.
I further understand that in the event of a medical emergency, A.P. Soccer Academy will call EMS to render assistance and that I will be financially responsible for any expenses involved.

I do hereby consent and agree that A.P. Soccer Academy has the right to take photographs and
video of my child during A.P. Soccer Academy sessions. These photos and video may be used
on the company website (www.apsocceracademy.com), company Facebook pages, and
promotional material without compensation. I understand that my child's name and identity
will not be revealed. If you would prefer we not take photographs or video your child, please
notify us via e-mail.

Waiver of Liability: In consideration of being permitted to play sports, on behalf of myself, my
family, my heirs, and my assigns, I hereby release A.P. Soccer Academy, its agents, and its
employees from liability for injury, loss, or death to the above-mentioned participant while
using any facility or equipment or in any way associated with participating in the sports
activities now or in the future, resulting from the ordinary negligence of A.P. Soccer Academy,
its agents and employees.