Waiver Form

Canyon Academy FC | Player Waiver

Canyon Academy FC

Player Waiver & Release Form

Player Waiver & Release

Please complete this form before participating

Player Full Name *

Player Date of Birth *

Parent / Guardian Name *

Parent Email *

Parent Phone *

Emergency Contact *

Emergency Phone *

Insurance Provider

Policy Number

Waiver & Release of Liability

Assumption of Risk: Participation in Canyon Academy FC activities involves risks including physical injury, collisions, falls, and other athletic hazards.

Release of Liability: I release Canyon Academy FC, its coaches, staff, volunteers, and affiliates from liability for injuries sustained during participation.

Medical Authorization: I authorize Canyon Academy FC representatives to obtain emergency medical care for the participant if necessary.

Code of Conduct: Players must respect teammates, coaches, referees, and club policies.

Media Release: Photos and video taken during activities may be used for club promotion.

I acknowledge soccer involves physical risk * I agree to the liability waiver * I authorize emergency medical care * I agree to the club code of conduct * I allow photo / video media use

Parent / Guardian Signature *

Date *

By submitting this form your typed name acts as a legal digital signature.

Waiver Form

Canyon Academy FC

Player Waiver & Release

Waiver & Release of Liability

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