FSA AUSTIN SOCCER TRYOUTS 2017/ 2018 SEASON

I hereby grant Forza Sports Academy Training and Tryouts (hereinafter referred to as the “Forza”), and recognize that soccer can be a dangerous sport, yet I wish to assume all risks associated with my child’s participation in any Forza sessions, clinics, camps including regular practices, foot skills sessions, games or any other activities held by Forza. Now, therefore, for good and valuable consideration, the amount and sufficiency of which is hereby acknowledged, I hereby forever release and discharge Forza, its officers, directors, supervisors,
employees, of all the aforementioned persons or entities, of any and all liability or responsibility for any act or omission of any kind or character which may cause my child or anyone in my family to suffer property damage, personal injury (including death, paralysis, or dismemberment), or property loss while
traveling to or from, participating in, or watching the soccer activities in any Forza sessions or activities.

This waiver and release is made freely, voluntarily, and intelligently, without undue influence or duress, and is intended to release and waive liability for all risks of damage or injury, regardless of the cause, and regardless of whether the risk is known or unknown, foreseeable or enforceable.

This waiver and release is an absolute bar to me, my heirs, assigns, or successors from filing suit,bringing a personal-injury action, or making some other claim to collect for my damage, injury costs,expenses, or loss and will be enforced to the fullest extent of the law.

I acknowledge, consent, and agree that if for some reason I or my family members ignore the terms and conditions of this waiver and file a suit, bring an action, or make some other claim against any of the parties mentioned above, then each such party against whom I or my family members file suit, bring an action, or make a claim is entitled to collect from me or my family members and the attorney fees incurred in defending against or responding to the suit, claim, or action.

I acknowledge I have carefully read the foregoing and I have no question or concern regarding the implication of same.

As the parent/guardian of the above name minor, know that I may not be available to authorize medical,dental, surgical, and hospitalization of said minor child. I wish to appoint Forza Sports Academy staff to act in my behalf in my absence and to give such authorization. This authorization is intended to give Forza Sports Academy staff to give consent to not only authorization for emergency diagnostic procedures, medical dental, surgical care and hospitalization, but for any diagnostic, medical dental surgical care, x-ray treatment and hospitalization that the person so designated deems advisable, and which the physician, dentist, or hospital personnel in said person’s judgment may deem advisable. I have put the important medical facts, if any, on this form. The medical facts are intended to help the Forza Sports Academy staff, the doctors and medical staff, in deciding what treatment is to be given, but this is no way intended to restrict of authorization or consent by Forza Sports Academy. I understand that this form is in effect from the date signed and that it is my responsibility to inform Forza Sports Academy of any changes to this form. It is my understanding that this form also serves to establish my consent and permission for the above minor to participate in Forza Sports Academy training instructions and programs. It is intended that this document be presented to the physician, dentist appropriate hospital or medical representative at such time as the medical, dental, surgical care or hospitalization shall be authorized. It is intended that the authorization relive the physician, dentist, person rendering such care at the hospital or institution in which such care is given, from any liability resulting from the failure of me, the parent or guardian of the above name minor, from signing a consent or authorization to render such care. It is the intent that Forza Sports Academy staff shall act in making such decisions.