SOCCER KICKERS Soccer Kickers Waivers and Policies. FOR PEOPLES CHURCH PARENTS ONLY CHILDREN INFORMATIONName First Last Special needs for the child/children such as allergies, disabilities, medications etc.*Registration Age 2- 3 Saturday 10:20 AM- 11:00 AM Ages 4-6 Saturday 9:30- 10:15 AM Ages 7-11 Saturday 11:05 AM - 11:45 AM Cost: FREE for children who participated in our Summer 2019 program. LocationPatriarche Park 1100 Alton Rd. East Lansing, MI 48823PARENT INFORMATIONName First Last PhoneEmail* WAIVER AND LIABILITY* I agree to the privacy policy.Agreement to Participate in Soccer Kickers: Participation in all sports can be inherently dangerous and, regardless of the care taken to avoid injury, it is impossible to ensure the safety of all participating individuals. The game of soccer is no exception. In fact, soccer has many inherent dangers. It is a sport that demands cardiovascular fitness, coordination, and agility. Players may spend more than 1 hour in intense physical activity and must be constantly aware of their surroundings (other players, goalposts, and the ball itself). Although soccer is not generally thought of as a contact sport, at competitive levels, it is. Although many risks can be avoided, some simply cannot. While playing soccer, accidents do happen. Some of these accidents may occur but are not limited to collisions with other players, collisions with the ground, and being struck by the ball, collisions with the goalposts, scrapes, bruises, strains, blisters, and sprains, broken bones, concussions, muscle tears, and ligament tears; catastrophic injuries like heat stroke, cardiac arrest, and death. o To reduce the risk of injury, participants are expected to abide by the following rules: All participants are expected to be physically fit before Soccer Kickers begins. 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 of soccer. Further, the above-mentioned participant agrees to report any unsafe practices, conditions, or equipment to the instructor. I certify that the above- mentioned participant 1) possesses a sufficient degree of physical fitness to safely participate in soccer, 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 soccer and he/she will verbally inform the instructor immediately. o I have read the preceding information and it has been explained to me. I know, understand, and appreciate the risks associated with participation in soccer 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, the instructor will call EMS to render assistance and that I will be financially responsible for any expenses involved. o Waiver of Liability: In consideration of being permitted to play soccer, on behalf of myself, my family, my heirs, and my assigns, I hereby release Soccer Kickers, 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 activity of soccer now or in the future, resulting from the ordinary negligence of Soccer Kickers, its agents and employees. Photo Consent* YES NO I do hereby consent and agree that Soccer Kickers has the right to take photographs of my child and to use these on the company website (www.soccerkickers.com) and promotional material without compensation. Your child's name and identity will not be revealed. If you would prefer we do not photograph your child please.