JUST ONE SOCCER LEAGUE

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2021 Volunteer registration

VOLUNTEER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Email:

* Gender:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

* Relationship:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

I am aware that while playing soccer certain risks and dangers may occur, including, but not limited to falls, kicks, or other injuries. In consideration of the right to participate in soccer programs, tryouts, and other related events, I have and do hereby assume all the above risks, and will hold harmless Just One Soccer League or New York Red Bulls from any and all liability, actions, causes of actions, debts, claims, and demands of every kind and nature whatsoever which I now have, or which may arise from or in connection with my child’s participation, including, but not limited to, any and all claims arising NEGLIGENCE or CARELESSNESS. I release, discharge and agree to hold harmless and indemnify any one of the instructors, coaches, participants or other employees of Just One Soccer League or New York Red Bulls, including the owners of the fields and facilities utilized for the programs, from any and all liability, claims, or demands. The terms hereof shall serve as a release and assumption of risk for my heirs, executors, and administrators and for all members of my family. I certify that my child is medically sound and physically fit to play soccer.

I/we agree with the above *

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2021 Volunteer registration