Dream Soccer Club Outdoor 2026 Registration Form

Player Full Name

First NameLast Name

Date of Birth

Date

Gender

Age Group

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Parent/Guardian Full Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Relationship to Player

Primary Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to Player

Dream Soccer Club — Waiver of Liability and Release Form

To be signed by Parents/Guardians/Caregivers of Children under the ages of 18)

By signing below, I acknowledge that I have carefully read and fully understand this Waiver of Liability and Release Form.

1. Requirement
This form must be completed for each soccer player or program participant. If the participant is under 18 years old, it must be signed by the parent or legal guardian. No participant will be allowed to take part in practices, games, tournaments, or any Dream Soccer Club activity without this form properly completed and on file.

2. Acknowledgment of Risk

I, the undersigned, in consideration of my child’s participation in organized soccer, acknowledge and understand that soccer is a physical contact sport involving inherent risks. Participation may result in injuries, including but not limited to cuts, scrapes, bruises, sprains, serious injury, or, in rare circumstances, death. I voluntarily assume all risks and hazards associated with my child’s participation. I confirm that my child is in proper physical condition to participate and does not have any illness, injury, or medical condition that would be aggravated by participation.”

3. Supervision and Transportation
I understand that parents or guardians are responsible for transportation to and from activities and for supervision before drop-off and after pick-up. Dream Soccer Club staff and volunteers are responsible for supervision only during scheduled program times.

4.Health and Communicable Disease Acknowledgmet

I acknowledge that participation in Dream Soccer Club activities may involve exposure to COVID-19, bacteria, viruses, or other communicable diseases, which carry inherent risks. I agree not to send my child to any practices, games, tournaments, or club events if they are unwell, exhibiting symptoms, or have been advised to isolate. I understand that, despite the club’s adherence to recommended health and safety protocols, exposure to contagious illnesses cannot be completely prevented, and I voluntarily assume all related risks and responsibilities.

5. Equipment and Safety
I agree that my child will wear appropriate soccer equipment, including shin guards and proper footwear, during all activities. I understand that failure to follow safety requirements may increase the risk of injury.I agree to notify Dream Soccer Club of any safety concerns or hazards.

6. Medical Expenses

Dream Soccer Club is not responsible for any medical expenses, medical bills, or healthcare costs resulting from injuries or accidents that may occur during club activities. Parents/guardians accept full responsibility for all medical expenses incurred.

Waiver & Liability Agreement

Concussion Awareness and Acknowledgment

Dream Soccer Club is committed to the safety and well-being of all participants. Participation in soccer and related physical activities involves a risk of concussion and other head injuries. A concussion is a serious brain injury that may be caused by a direct blow to the head, face, or neck, or an indirect blow to the body that causes rapid movement of the head.

Common signs and symptoms of a concussion may include, but are not limited to:

Physical Symptoms:

Headache or pressure in the head
Dizziness or balance problems
Nausea or vomiting
Blurred or double vision
Sensitivity to light or noise
Feeling tired, weak, or fatigued

Cognitive Symptoms:

Confusion or difficulty concentrating
Memory problems
Feeling slowed down
Difficulty focusing or following instructions

Emotional Symptoms:

Irritability
Mood changes
Anxiety
Feeling more emotional than usual

I understand that if a concussion is suspected, the participant will be removed from play immediately and will not be permitted to return to training, games, or club activities until written medical clearance has been provided by a qualified healthcare professional.

I acknowledge that it is my responsibility to report any symptoms of concussion, head injury, or previous concussion history to Dream Soccer Club staff as soon as possible.

Concussion Acknowledgment

Media, Photography & Audio Release

I give permission to Dream Soccer Club, its staff, volunteers, and affiliates to photograph, film, record audio, or capture my child's image, voice, and likeness during practices, games, tournaments, or club events. I understand and agree that these photos, videos, and audio recordings may be used for promotional, educational, or marketing purposes, including but not limited to Social media platforms, Club website ,Newsletters, Printed materials, Promotional videos, Club advertisements I understand that no payment, compensation, or additional approval is required for this use, and that these materials may be used by Dream Soccer Club in the future .

Media, Photography - Audio Release Agreement

Medical Information Emergency Authorization

I authorize Dream Soccer Club staff, coaches, and volunteers to provide basic first aid to my child if an injury occurs during Dream Soccer Club activities, including practices, games, tournaments, and club events.

In the event of a serious injury or medical emergency, I authorize Dream Soccer Club staff to contact emergency medical services (911) and seek necessary medical treatment for my child if I cannot be reached immediately.

I understand that every reasonable effort will be made to contact me or the emergency contact listed as soon as possible.

Emergency Authorization Agreement

Does the participant have any medical conditions we should be aware of?

Please provide details of the medical conditions, including any important restrictions for the coaches and staff.

Does the participant have any allergies we should be aware of?

Please list all allergies and required treatment or emergency response, e.g., EpiPen, used medication, severity, triggers.

Medical Information Accuracy

By typing my full name (first and last) below, I confirm that I am the parent or legal guardian of the participant and that this electronic signature has the same effect as a handwritten signature.

Date Of the signature