LP Travel Soccer- Team Placement Hold

RM_Stats
Email^*
Player's First Name^*
Player's Last Name^*
Gender^*
Players Birth Date^*
Age Group^*
Jersey Size^*
Top 3 Favorite Numbers^*
Name on Jersey^*
Parent Last Name^*
Parent First Name^*
Contact Number^*
Email^*
Resident or Non- Resident^*
Address^*
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Supporter Gear (Hoodie)Press ctrl or ⌘ (in Mac) while clicking to select multiple options.
Minor Participant Liability Release and Acknowledgement^*
LEGACY PARK COMMUNITY ASSOCIATION, INC. MINOR PARTICIPANT LIABILITY RELEASE AND ACKNOWLEDGMENT In consideration of the Legacy Park Community Association, Inc. (“Association”) allowing my minor child or children to use the Association’s property and amenities (“Association Property”) for _____________________ (“Recreational Activity”), and other good and valuable consideration, the receipt and sufficiency are hereby acknowledged, I hereby agree and acknowledge, on behalf of my child/children, as follows: 1. I, the undersigned, am the parent or legal guardian of ________________________________. 2. I understand and acknowledge that participation in the Recreational Activity can be hazardous and I realize that no one should enter into a recreational activity unless he or she is medically able. 3. I realize that all risk associated with this activity, including but not limited to, falls, contact with other participants, equipment failure, effects of weather and conditions, are assumed solely by me and that the responsibility to ascertain if engaging in this activity might prove harmful to a participant is solely my own. I have examined the condition of the Association Property and warrant that the same are in good working order and condition. 4. I agree to abide by all Association rules and policies and with customary safe practices, and I release and forever discharge the Association, its members, officers, directors, employees and agents from any and all claims, costs, causes of action, and liabilities for personal injury or death, damage to or destruction of property, or any other consequences thereof which arise from or are in any way related to the use of the Association Property. I assume all risks of injury arising from and/or during my son/daughter’s use of the Association Property. 5. I understand that the Association, its officers, directors, members, agents and employees ("Released Parties") are not responsible or liable for any accident, injury, harm or other loss that might occur to me resulting in any way from, or in connection with, the use of the Association Property for the Recreational Activity, except such as may be caused by the sole gross negligence or willful misconduct of the Association. I hereby forever and fully remise, release, acquit, discharge and indemnify the Released Parties of and from any and all causes of action, claims, suits, counterclaims, damages and demands of whatever kind and nature, known or unknown, anticipated or unanticipated, related to use of the Association Property, except as may be caused by the Association’s sole gross negligence or willful misconduct. 6. I understand and acknowledge that the instructor or volunteer coach for the Recreational Activity is not an employee, agent or contractor of the Association and that the Association, its members, officers, directors, employees and agents are not in any way whatsoever responsible for the instructor or volunteer coach’s action or inaction or any claims, costs, causes of action, or liabilities for personal injury or death, or damage to or destruction of property, arising from such instructor or volunteer’s action or inaction. 7. I consent to the rendering of emergency first aid and other medical procedures to my son/daughter which at the time or injury or illness seems reasonably advisable. I further will be responsible for payment of any such medical procedures. 8. I understand that the Association and its members, agents and employees may photograph and record me and any of my family members, employees, agents, servants, guests, invitees, and any other person that is in any way related to the Recreational Activity and/or use of the Association Property during the Recreational Activity. I grant the Association and its agents the following rights: permission to use, publish, modify or alter the images for any lawful purpose whatsoever, including but not limited to promoting Legacy Park and the Association Property, on the Legacy Park website and on the Internet, and worldwide in perpetuity for the purposes sated above, without payment or any other consideration; and 9. I acknowledge that I have read this form carefully before signing.
I accept
Refund Policy^*
"No refunds will be given after the uniforms have been ordered, 1/15 for Spring and 7/15 for fall & No refund on the 100 to hold a spot.
I agree to the Refund Policy
Code of Ethics for Players^*
Legacy Park Players’ Code of Ethics Adopted June 18, 2009 I, as a player in a Legacy Park sport program, I agree to do the following: o Play this game to have fun. o Work hard to improve my skills. o Make every reasonable effort to be at all practices and games. o Pay attention to the coaches and be respectful to them. o Cheer for my teammates. o Not yell at my opponents or the umpires or referees. o Pick up anything I bring to practices or games. I have read the above Code of Ethics and fully agree to abide by and support it as a player in a Legacy Park sports program.
I agree that the registrant(s) will abide by the Player's Code of Ethics
Parents' Code of Ethics^*
Legacy Park Parents’ Code of Ethics Adopted June 18, 2009 I, as a parent in a Legacy Park sport program, agree to the following: - I will remember that I am a parent and that the game is for children and not adults. - I understand that the coach, other parents, and the children are making a commitment of their time and energy and I need to do the same. - I will make every reasonable effort to have my child at all practices and games, on time, and if I cannot, I will notify the coach to let them know that my child will be late or will miss a game or practice. I understand my child may not participate fully in games if they have missed practices or games. - I understand I have the right to voice support for my child and her/his team but I cannot direct disparaging remarks toward other players, coaches, umpires, or spectators. I will help my child learn good sportsmanship and respect for the game, and will model this behavior while attending games and practices. - I understand no one is paid to clean up after me or my child. I will help pick up anything I, or my child, brings to practices or games. - I will do everything I can to provide a safe play situation for the children participating in the program including working with the coach(es) to ensure proper hydration for the players. - I will treat children of all races, religions, and culture with respect and consideration. - I will support a drug-free and profanity-free environment for Legacy Park participants by refraining from their use at all Legacy Park youth sporting events. - I understand Legacy Park does not provide medical insurance, and I am responsible for any medical costs associated with my child’s participation in any Legacy Park sports program. - I understand that any and all of my actions are subject to review by the Legacy Park Home Owner’s Association Board of Directors. I have read the above Code of Ethics and fully agree to abide by and support it as a parent in a Legacy Park sports program. I understand and agree that the Board of Directors of Legacy Park may ask me not to participate in the Legacy Park sports program if my behavior is not in the best interest of Legacy Park and its members and players.
I agree to abide by the Parents' Code of Ethics
Medical Release^*
I/We the parent(s) of the aforementioned child permit him/her to participate in all practices and games during the sports season. I/We assume all risks and hazards incidental to participation, including transportation to and from activities. I/We do hereby waive, release, absolve, indemnify and agree to hold harmless the Legacy Park Sports League, its sponsors, supervisors, participants, volunteers and coaches for any claim resulting in injury to the above named participant. I/We do hereby agree to hold harmless Legacy Park Communities, Legacy Park Homeowners Association, Inc. from any responsibility or liability for the health and well being of the participant during participation in the Legacy Park Sports League. I/We hereby grant permission to the adult managers, coaches or volunteers to obtain medical care from any licensed physician, hospital or medical clinic for the participant if a minor child at such time as either parent or legal guardian cannot be contacted in person or by telephone.
I agree to the medical release
COVID-19 Waiver form^*
COMMUNICABLE DISEASE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT THIS RELEASE DOES NOT REPLACE THE STANDARD PARTICIPATION WAIVER In consideration of being allowed to participate in any way in the program, related events, and activities, I the undersigned, acknowledge, appreciate, and agree that: I am aware that participation includes potential risks to me of exposure directly or indirectly arising out of, contributed to or by, or resulting from an outbreak of any communicable disease, including, but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for Coronavirus Disease (COVID-19), and/or any mutation or variation thereof. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, COVENANT NOT TO SUE, DISCHARGE, INDEMNIFY, AND HOLD HARMLESS GEORGIA STATE SOCCER ASSOCIATION, INC., and its officers, directors, officials, agents, employees, other participants, sponsors, advertisers, its member affiliates and, if applicable, owners and lessors of premises used to conduct any sponsored or sanctioned event (“Releasees”), from any and all claims, demands, losses, damages, and liability arising out of or related to any ILLNESS, INJURY, DISABILITY OR DEATH I may suffer, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. Notwithstanding the risks associated with any communicable disease, including, but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for Coronavirus Disease (COVID-19), and/or any mutation or variation thereof, which I readily acknowledge, I hereby willingly choose to participate and assume the risk of doing so. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. X_____________________________________________________ Player/Participant’s Age_____________ Player/Participant’s Name X________________________________________________ ____________________ Player/Participant’s Signature Date FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, have read and explained the provisions in this waiver to the participant, including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, the participant and I understand and accepts these risks and responsibilities. I, for myself, my spouse, and the participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability arising out of or relating to the minor participant’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. X__________________________________________________ Player/Participant’s Age____________ Player/Participant’s Name X__________________________________ ___________ _________________________ Parent/Guardian Signature Date Emergency Phone Number(s)
I agree to the COVID-19 Waiver form
Photo Release^*
My submission of this registration form gives permission for Legacy Park to post pictures of the participant on our team website, newsletter or organization Facebook. I give the LP webmaster, Director of Tennis and/or Legacy Park Sports Coordinator permission to post pictures for the purpose of promoting Legacy Park Tennis. Photos may be submitted to the webmaster, director, or coordinator for posting by any member of the Legacy Park Tennis organization. The Legacy Park webmaster, director, and coordinator promise to not post any photo that deems itself inappropriate, and agrees to post only photos that are in good taste and reflect the wholesome sport of tennis.
I agree to the photo release