Recognizing the possibility of physical injury or other losses or damages associated with my child’s involvement with soccer, including injury while playing, or while traveling to/from home, school or other locations in connection with his or her soccer training , soccer competition or educational activities, my signature below serves to release, discharge, and/or otherwise indemnify SGB Events, LLC and related entities (collectively “SGB”), its coaches, the EPYSA / USYSA, US Club Soccer, the USSF or any affiliated or related soccer organizations, clubs or teams, or school programs along with employees, volunteers, coaches, team managers, facility owners, facility operators and facility lessees, the Silverback Educational Foundation for the Arts, Dance & Athletics, the Charity for the Arts, Sports & Education, Graham Partners, LLC, The Silverback Swag (also referred to as “The SWAG” or “The SWAG Soccer”), The SWAG Soccer, LLC, the Philadelphia Union, the Philadelphia Union Foundation, FC Delco, Future Captain Sports, LLC, and any and all personnel or entities associated with any of the foregoing parties, against any claims, lawsuits, losses, liabilities, demands and obligations of any kind, whether known or unknown, which relate to, involve or arise from by or on behalf of the player named below or his or her family members or assigns. In consideration of my child’s participation in the soccer programming SGB supports, SGB and its assigns may use soccer-related video or photographic material of my child for promotional purposes relating to soccer, and I consent to my child communicating in person or in writing with coaching staff, other staff representatives and players via technology platforms including, but not limited to Team Snap, Slack, or Zoom, or via phone. This waiver and release shall remain in effect on an ongoing basis. My child has received a physical examination by a physician and has been found physically capable of participating in soccer. I recognize that coaches or other staff who may train or transport my child are subject to background checks and understand that coaches or staff who may have had misdemeanor or felony charges in the past may be involved in coaching, but that individuals with a known child abuse history are not qualified to coach. My signature below affirms the foregoing, and specifically provides consent for the player listed below to be transported by coaches or staff to/from home, school or other locations for soccer or educational activities, and also provides my permission as the parent/guardian of the player listed below, a minor for whom I have legal custody, for the holder of this form to obtain medical or dental care for the minor named below in my absence from a recognized medical facility and/or a licensed physician or dentist.
Parental or Guardian Consent:
Because the Player is a minor child, you, as the parent or guardian of such minor child, are required to agree to and acknowledge the following on behalf of such minor child.
By checking the box, signing below and submitting, you are representing that you are the parent or guardian of the minor child and are agreeing to and acknowledging, the Player Release and Waiver. In addition, you are agreeing to and acknowledging the Privacy Policy and Terms and Conditions, which apply to this submission and your activities on the Silverback Educational Foundation for the Arts, Dance & Athletics Website: www.sefada.org.
