Forge Soccer Development — Parent/Guardian Waiver

Player (minor) full name

Player date of birth

MonthDayYear

Parent/Legal Guardian full name

Relationship to player

Home address

Parent/Guardian phone

Area CodePhone Number

Parent/Guardian email

Emergency contact (name & phone)

Physician (name & phone)

Medical insurance carrier & policy #

Allergies, medical conditions, medications, or limitations we must know

Write “None” if none.

“Company” means Forge Soccer Development, LLC, and its owners, coaches, employees, independent contractors, and volunteers (collectively, the “Released Parties”). “Activities” means all soccer training and related services provided by the Company — including private and small-group sessions, camps, clinics, remote/online coaching, and travel to and from training sites — and all physical activity inherent to them (running, sprinting, kicking, jumping, contact with the ball, other players, equipment, and playing surfaces).

1. Acknowledgment and Assumption of Inherent Risks

I understand that soccer and athletic training are physically demanding and involve inherent risks — dangers characteristic of, intrinsic to, or an integral part of the Activities — that cannot be eliminated regardless of the care taken. These include, without limitation: muscle strains, sprains, fractures, concussions and other head injuries, dental and facial injuries, heat-related illness, collisions with other participants or equipment, falls, and, in rare cases, serious permanent injury or death. I knowingly and voluntarily accept and assume all such inherent risks on behalf of myself and my minor child.

NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN

READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF FORGE SOCCER DEVELOPMENT, LLC USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM FORGE SOCCER DEVELOPMENT, LLC IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND FORGE SOCCER DEVELOPMENT, LLC HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

2. Waiver and Release of Liability

To the fullest extent permitted by Florida law, I, on behalf of myself, my minor child, and our heirs, assigns, and personal representatives, hereby waive, release, and discharge the Released Parties from any and all claims, liabilities, demands, or causes of action for personal injury (including death) or property damage arising out of or relating to my child’s participation in the Activities and resulting from the inherent risks of the Activities, as provided in Fla. Stat. § 744.301(3). This release includes the failure to warn of an inherent risk and the risk that another participant may act negligently and contribute to injury.

3. Covenant Not to Sue and Indemnification

I agree not to sue the Released Parties for any claim released above. I further agree to indemnify and hold harmless the Released Parties from any claim, loss, or expense (including reasonable attorneys’ fees) brought by or on behalf of my child, or by a third party, arising out of my child’s participation, to the extent permitted by law.

4. Medical Authorization and Emergency Treatment Consent

If my child is injured or ill and I cannot be reached, I authorize the Company’s coaches to seek and consent to emergency medical care, including transport by ambulance and treatment by qualified medical personnel, at my expense. I represent that the medical/insurance information provided is accurate and that I am financially responsible for any care provided.

5. Health Representation

I represent that my child is in good health and physically able to participate, and that I have disclosed above any condition, allergy, medication, or limitation relevant to safe participation. I will update the Company promptly if this changes.

6. Concussion Awareness

I understand the signs and risks of concussion, that any suspected head injury will result in the player being removed from activity, and that I am responsible for obtaining medical clearance before my child returns to training.

Photo / Media Release: I grant the Company permission to use photos/video of my child for promotional purposes (website, social media, advertising) without compensation. (A “No” here does not affect any other part of this agreement.)

7. General Terms

This agreement is governed by the laws of the State of Florida, with venue in Pasco County, Florida. If any provision is held unenforceable, the remainder stays in full force. This is the entire agreement regarding its subject matter and may only be amended in writing. I have read and understood it and sign it freely.

Electronic signature: By signing and submitting this form, I agree that my electronic signature is the legal equivalent of my handwritten signature and I consent to conduct this transaction electronically (Fla. Stat. Ch. 668, UETA).

Agreement

Parent/Legal Guardian signature