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  • Flames House Soccer

    Filling this form has no cost. To complete the player registration, and process your payment you are required to come to the Foss Park District Community Recreation Center IN PERSON. Please visit 1730 Lewis Ave, North Chicago, IL 60064 between 8am and 8pm Monday through Friday to submit your payment. Practices will be scheduled between 5pm to 8pm depending on volunteer availability. Game time and days are TBA. Games are played at Vision Park. For more program information visit www.quickscores.com/fosspark
  • Player Date of Birth:*
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  • ​Waiver/Photo Release

    and

    Hold Harmless Agreement


    ​Please read this form carefully and beware that, in signing up and participating in the above program, you will be Waiving and releasing all claims for injuries, arising out of this program, that you or the above participant might Sustain. The terms "I", "me", and "my" also refer to the parents or guardians as well as the participants in the program.

    ​You are agreeing as follows: As a participant in the program, I recognize and acknowledge that there are certain risks Of physical injury, and I agree to assume the full risk of any injuries, including death, damages or loss which I may Sustain as a result of participating, in any manner, in any and all activities connected with or associated with such Program. I further recognize and acknowledge that all athletic activities involving strenuous exertion or potential body Contact is hazardous recreational activities and may involve substantial risk of injury.

    ​I agree to waive and relinquish any and all claims that I may as a result of participating in the program against the Foss Park District, any and all other participating or cooperating governmental units, any and all independent contractor, and Any and all other persons and entities, of whatever nature, that might be directly or indirectly liable for any injuries that I might sustain while participating in the program. (The parties described in the preceding sentence are referred to as "Released parties" in the reminder of the agreement.)

    ​I do hereby fully release and discharge the Foss Park District and the other released parties from any and all claims for Injuries, including death, damages and losses sustained by anyone, and arising out of, connected with, or in any way Associated with my conduct and the activities if the program.

    ​I further understand and agree that the terms such as participation, programs, and activities referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in the program, and Further include the provision of or failure to provide proper instructions or supervision, the use and adjustment of any And all machinery, equipment, and apparatus, and anything related to my use of the services, facilities or premises involved in the program.

    ​I further understand the nature of the program for which I am registering, and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I understand that any advisements or warnings of the particular risks Of this program that I subsequently receive will be incorporated by reference into and become a part of this Agreement. Photographs and videos are taken by park district staff to use for informational purposes. By registering for a program, attending an event or using a park district facility, you have granted us permission to use our image for promotional purposes.

  • COMMUNICATION CONSENT:

    By pre-registering, you agree that the Foss Park District may contact you via text messages, email and phone calls for league updates, schedules, and operational purposes. You also consent to receive promotional communications regarding future programs, tournaments, and upcoming events. Standard message and data rates may apply, and you can opt out of text alerts at any time by replying STOP to the communications. 

  • Acknowledgements*
  • Todays Date
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    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: