GSD WAIVER FORM
THIS AUTHORIZATION SHALL REMAIN IN EFFECT FOR ONE YEAR FROM THE DATE THE GLOBAL SOCCER DEVELOPMENT, LLC (HEREAFTER REFERRED TO AS “GSD”) WAIVER FORM WAS ACKNOWLEDGED, SIGNED AND PAID.
THIS FORM ACKNOWLEDGMENT APPLIES TO BUT IS NOT LIMITED TO THE FOLLOWING YOUTH ACTIVITIES / EVENTS:
YOUR PAYMENT IS ACKNOWLEDGEMENT THAT YOU HAVE FULLY READ, UNDERSTAND AND ACCEPT GIVEN TERMS AND CONDITIONS.
NO REFUND POLICY FOR ID SESSIONS:
GSD ID SESSION REGISTRATION FEES are NOT refundable for any reason. By checking our Terms & Condition Waiver Box as well as entering your name below, you certify that you agree with the terms of our GSD Tryout Waiver Form.
NO REFUND POLICY FOR GSD CAMPS:
GSD will not issue any credit or refund in any kind or amount in the event a camp is cancelled due to storm or inclement weather, war, and or any other safety related threats that, at in the sole discretion of Global Soccer Development constitutes a danger to our campers.
MEDIA RELEASE TERMS:
The parent/guardian authorizes and agrees to allow GSD to take photographs, video recordings or any other media materials taken of myself and/or my children/wards to be used in any marketing/advertising publications by and for GSD included, but not limited to print brochures, advertisements, films or videos and broadcast presentations of any sorts.
MEDICAL AND LIABILITY RELEASE TERMS:
The parent/guardian recognizes and acknowledges that this form will be used in lieu of individual forms for any and all events hosted by GSD within its children’s/players. It is further recognized and acknowledged that it is the responsibility of said parent/guardian to inform GSD immediately of any changes or modifications to the information reflected on this form concerning said parent’s or guardian’s child.
AUTHORIZATION TO TREAT A MINOR PARENT / GUARDIAN MEDICAL RELEASE STATEMENT:
I understand that in the event medical intervention is needed, every attempt will be made to immediately contact the person(s) listed on this form. In the event I cannot be reached in an emergency during the activities identified on the front of this form, I hereby give my permission to the physician or dentist selected by the activity leader to hospitalize, to secure medical treatment and/or order an injection, anesthesia, or surgery for my child as deemed necessary. I authorize an adult, in whose care the minor has been entrusted, to consent to any x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization. Should it be necessary for our (my) child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs. The undersigned does also hereby give permission for our (my) child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities provided by Global Soccer Development, LLC.
PARENT / GUARDIAN RELEASE OF LIABILITY STATEMENT:
I understand all reasonable safety precautions will be taken at all times by Global Soccer Development, LLC and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the possibility of risk, inherent or otherwise, including, but not limited to, accident or illness. In consideration of, and as part payment for, the right to participate in the aforementioned activities and events, I have and do hereby assume all risks on behalf of the aforementioned student/athlete.
I agree not to hold Global Soccer Enterprises, LLC, its leaders, agents, employees, or volunteer staff liable for damages, losses, disease, or injuries incurred by the subject of this form. I will hold Global Soccer Development, LLC harmless from any and all causes of action, debts, claims, demands, damages, judgment executions, cost, loss of services, expenses, compensation, and any and all other claims of damages whatsoever, including, but not limited to, those arising from the accommodations, any acts or omissions of Global Soccer Development, LLC, or any other person in connection with Global Soccer Development, LLC. I also understand that Global Soccer Development, LLC is held harmless and will not issue credit or refund in the event that I or my minor child, the attendees, cannot attend due to illness, injury, hazardous road conditions, severe storm, flooding, wind, war or other acts of God or any unforeseen occurrences that could frustrate the whole or any part of this event and/or schedule.
I understand that Global Soccer Development, LLC does not provide health and/or accident insurance. I assume full and complete responsibility for any and all medical and/or dental bills arising out of (my) or my child’s participation in the Global Soccer Development, LLC provided activity, and hereby agree to indemnify and hold harmless Global Soccer Development, LLC and its parties from any and all liability associated with (my) or my child’s participation in the clinics/camps that are the subject of this form.
Your payment is acknowledgement that you have fully READ, UNDERSTAND and ACCEPTED given TERMS and CONDITIONS.