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North vs. South Tournament
San Luis Obispo Soccer Club

San Luis Obispo Soccer Club
Academy and Camp Waiver

San Luis Obispo Soccer Club
Training Academy
and Camp
Liability Release Form

Please complete this form and bring it with you to the academy.

Liability Release: I, the parent or guardian of the below-named youth soccer player, give my consent for emergency medical care should the need arise. Recognizing the possibility of physical injury associated with soccer, I hereby release, discharge and/or otherwise indemnify CYSA-South, San Luis Obispo Soccer Club, including their coaches , trainers, managers, and board members against any claim by or on behalf of the player as a result of the players participation with this training academy or camp.
Players Name (Please Print):
Player Birth Date (Month/Day/Year):
Parent or Guardian Signature:
Today’s Date:
Home Phone (parent)
Work Phone (parent)
Emergency Contact (name):
Emergency Contact (phone):