2012-2000 Boys & Girls

Justin Lane/Papandrea Field
March 14th, 2018
8:00am-12:30pm
Start
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Player Information

 
What is your player's first name? *

 
What is {{answer_KyQ5JHRFmeFJ}}'s last name? *

 
What is {{answer_KyQ5JHRFmeFJ}}'s birthdate? *

 
{{answer_KyQ5JHRFmeFJ}} is a... *


 
Additional Information

 
Would you like to purchase a t-shirt? *

T-shirts are an additional $15.
     
 
What t-shirt size does {{answer_KyQ5JHRFmeFJ}} wear? *


 
What team does {{answer_KyQ5JHRFmeFJ}} play for?

All players are welcome, regardless of club or affiliation.
 
Contact Information

 
Please enter the primary guardian's first name.

 
Please enter the primary guardian's last name.

 
Please enter your telephone number. *

 
Payment

 
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2018 Spring Goalkeeper Challenge
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2018 Spring Goalkeeper Challenge *

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Waiver

 
Legal Waiver *


I, (parent / guardian) hereby give and assign to Lonestar Soccer Club of Austin (herein referred to as LSC), and its legal representatives, the right and permission to publish my child’s name, likeness, photographic image, video and biographical data for the specific purpose of publicity and promotion of the player, team, and/or LSC.

In consideration of LSC allowing my child to participate in LSC’s programs, I hereby waive and release, indemnify, hold harmless and forever discharge LSC, City of Cedar Park, Williamson County Regional Park, Town & Country Optimists, City of Austin, City of Buda, Austin Independent School District, North Austin Lions Club, Steiner Ranch Master Association, Northwest Soccer Complex, City of Taylor, and any other partner or provider of facilities, its agents, employees, officers, directors, affiliates, successors and assigns are hereby jointly and severally referred to herein as Released Parties, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I or my child ever had or may have arising from or in any way related to my child’s participation.

This waiver and release includes (but is not limited to) claims based on or arising from any injuries to my child resulting from said child’s participation in any of the training, camps, or related soccer or physical activities conducted by, or on the premises of, or for the benefit of any of the Released Parties as well as injuries resulting from engaging in fitness or strength and endurance workouts, practicing and/or engaging in soccer practices, scrimmages, tournaments, league games or other related activities including travel to and from. I understand the activities that said child will participate in can be dangerous and may cause serious or grievous injuries, including bodily injury and/or death. On behalf of myself, child, my heirs, assigns and next of kin, my child, my spouse (if applicable), and I waive all claims for damages, injuries and death sustained that we may have against Released Parties regarding any such activity. I certify to the best of my knowledge that my child's current physical condition is satisfactory for participation in the Lonestar Soccer program and that my child is free of any health problems which would endanger his/her participation. I will inform the coach should his/her condition change at any time during his/her participation in this program. This waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct.

I further agree that in consideration of and as a material term of LSC’s agreement to allow my child to participate, I agree to indemnify and hold LSC harmless for the cost of defending and satisfying any claim that is filed against LSC based on or arising from injuries to my child.

This waiver and release contains the entire agreement between the parties, and supersedes any prior written or oral agreements concerning this subject matter. The provisions of this may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties.

I have read, understand and fully agree to the terms of this waiver and release. I agree to the terms as stated in the 2017-2018 commitment agreement. I agree to pay all fees as outlined in the registration and understand that failure to pay fees may result in my child being placed in a “no play” status. I understand and confirm that by accepting this waiver and release said child and I have given up considerable future legal rights. I have accepted this Agreement freely, voluntarily, and under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. By signing below, I am executing a complete and unconditional waiver and release of all liability to the full extent of the law.

I, (parent / guardian) hereby give and assign to Lonestar Soccer Club of Austin (herein referred to as LSC), and its legal representatives, the right and permission to publish my child’s name, likeness, photographic image, video and biographical data for the specific purpose of publicity and promotion of the player, team, and/or LSC.

In consideration of LSC allowing my child to participate in LSC’s programs, I hereby waive and release, indemnify, hold harmless and forever discharge LSC, City of Cedar Park, Williamson County Regional Park, Town & Country Optimists, City of Austin, City of Buda, Austin Independent School District, North Austin Lions Club, Steiner Ranch Master Association, Northwest Soccer Complex, City of Taylor, and any other partner or provider of facilities, its agents, employees, officers, directors, affiliates, successors and assigns are hereby jointly and severally referred to herein as Released Parties, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I or my child ever had or may have arising from or in any way related to my child’s participation.

This waiver and release includes (but is not limited to) claims based on or arising from any injuries to my child resulting from said child’s participation in any of the training, camps, or related soccer or physical activities conducted by, or on the premises of, or for the benefit of any of the Released Parties as well as injuries resulting from engaging in fitness or strength and endurance workouts, practicing and/or engaging in soccer practices, scrimmages, tournaments, league games or other related activities including travel to and from. I understand the activities that said child will participate in can be dangerous and may cause serious or grievous injuries, including bodily injury and/or death. On behalf of myself, child, my heirs, assigns and next of kin, my child, my spouse (if applicable), and I waive all claims for damages, injuries and death sustained that we may have against Released Parties regarding any such activity. I certify to the best of my knowledge that my child's current physical condition is satisfactory for participation in the Lonestar Soccer program and that my child is free of any health problems which would endanger his/her participation. I will inform the coach should his/her condition change at any time during his/her participation in this program. This waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct.

I further agree that in consideration of and as a material term of LSC’s agreement to allow my child to participate, I agree to indemnify and hold LSC harmless for the cost of defending and satisfying any claim that is filed against LSC based on or arising from injuries to my child.

This waiver and release contains the entire agreement between the parties, and supersedes any prior written or oral agreements concerning this subject matter. The provisions of this may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties.

I have read, understand and fully agree to the terms of this waiver and release. I agree to the terms as stated in the 2017-2018 commitment agreement. I agree to pay all fees as outlined in the registration and understand that failure to pay fees may result in my child being placed in a “no play” status. I understand and confirm that by accepting this waiver and release said child and I have given up considerable future legal rights. I have accepted this Agreement freely, voluntarily, and under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. By signing below, I am executing a complete and unconditional waiver and release of all liability to the full extent of the law.
     
 
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