WSA Non-Registered Player Waiver Form

APPROVAL AND MEDICAL RELEASE Recognizing the possibility of physical injury, I, the above-named player OR parent/guardian of the above-named player, a minor, do hereby release, discharge and/or otherwise indemnify the West Side Alliance Soccer Club and its affiliated organizations, and their respective officers, coaches, referees, managers, board members, tournament hosts and their officials, employees and associated personnel, including the owners of the fields and facilities utilized for the Programs ("Programs," as used herein, means games, tournaments, clinics, practices, and/or soccer activities or social events organized by West Side Alliance Soccer Club or its affiliated organizations), against any and all claims by or on behalf of the above-named player as a result of such player's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize by the officer, coach or agent(s) of the West Side Alliance Soccer Club. The above-named player has received a physical examination by a physician and has been found physically capable of participating in the Programs. I, the above-named player OR the parent/legal guardian of the above-named player, hereby give my consent to have an athletic trainer, doctor of medicine or dentistry, or other medical professional provide the above-named player with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of such assistance and/or treatment. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of the above-named player.