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Clinic Registration

Youth Academy Free Clinic and Sign-ups 2015

2013

For additional Clinic and Sign-updates and for any questions regarding Players SC please contact Saeed at 702-373-5329 or by email at saeed@playerssc.com.

Clinic Registration

  • Player Information

  • Soccer Information

  • Parent Information -Mother

  • Parental Consent Information

  • I, THE PARENT/GUARDIAN OF THE REGISTRANT, A MINOR, AGREE THAT I AND THE REGISTRANT WILL ABIDE BY THE RULES OF THE USYS, ITS AFFILIATED ORGANIZATION AND SPONSORS AND HAVE READ THE PLAYERS AFFILIATION AGREEMENT ON THE BACK OF THIS FORM. RECOGNIZING THE POSSIBILITY OF PHYSICAL INJURY ASSOCIATED WITH SOCCER AND IN CONSIDERATION FOR THE USYS RELEASE, DISCHARGE, AND/OR OTHERWISE INDEMNIFY THE USYS, ITS AFFILIATED ORGANIZATIONS AND SPONSORS, THEIR EMPLOYEES AND ASSOCIATED PERSONNEL, INCLUDING THE OWNERS OF FIELDS AND FACILITIES UTILIZED FOR THE PROGRAMS, AGAINST AND CLAIM BY OR ON BEHALF OF THE REGISTRANT AS A RESULT OF THE REGISTRANT'S PARTICIPATION IN THE PROGRAMS AND/OR BEING TRANSPORTED TO OR FROM THE SAME, WHICH TRANSPORTATION I HERE BY AUTHORIZE.

  • CONSENT FOR MEDICAL TREATMENT (MINOR):

  • AS THE PARENT OR LEGAL GUARDIAN OF THE ABOVE-NAMED PLAYER, I HEREBY GIVE MY CONSENT FOR EMERGENCY MEDICAL CARE PRESCRIBED BY A DULY LICENSED DOCTOR OF MEDICINE OR DOCTOR OF DENTISTRY. THIS CARE MAY BE GIVEN UNDER WHATEVER CONDITIONS ARE NECESSARY TO PRESERVE THE LIFE, LIMB OR WELL-BEING OF MY DEPENDANT.

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