Subscription and Waiver Form / ONE DAY TRYOUT

ACADEMIA METODO COIRA

ONE DAY TRYOUT/TRAINING

,parent/legal guardian (the “Parent”) of:

(the “Player”) with DOB [mm/dd/yy]

and who:

is currently registered as a player at

is not registered or part of any sports club,

[name of club]

hereby authorize Player to do a Tryout/One time Training at the ACADEMIA METODO COIRA LLC and further,

I hereby release ACADEMIA METODO COIRA LLC and its representatives, affiliates, officers, agents, employees, members, directors, volunteers, and attorneys, from any and all liability or claims that may be sustained by the Player, or a third party directly or indirectly in relation to, or arising from, Player’s participation in the activity described in this document, whether caused, in whole or in part, by the negligence of ACADEMIA METODO COIRA LLC or otherwise, including any responsibility for recruitment not allowed during the current sport season. INITIALS:

I certify that the Player is fully covered by medical insurance and that I am fully responsible for all costs incurred, whether covered by a policy or not. I further certify that Player is in good health and free of injury. INITIALS:

I understand that there are certain inherent risks associated with participating in sports and/or athletic training that cannot be eliminated. These risks include, but are certainly not limited to: (1) minor injuries such as scratches, cuts, bruises and strains; and (2) major injuries such as injuries to the eyes, infection, loss of sight, joint injuries, back injuries, heart attacks, concussions, paralysis and even death. Also included in these risks are the same or similar injuries that might result from using training equipment, actual use of a field or training facilities, the acts of others or from the unavailability of emergency staff or emergency medical care (hereinafter we shall define all of these risks and potential injuries as “Risks”). All of these Risks will be present in the activities that you and/or your minor will be participating with ACADEMIA METODO COIRA LLC (the “Activities”). INITIALS:

I have evaluated the nature of the soccer activity and believe it to be appropriate for my child’s age, skill level, and physical condition. I understand that adult supervision may not be provided at all times during the soccer activities, and I accept responsibility for ensuring my child’s safety and behavior during these times. INITIALS:

I will inform the organizers of any relevant medical conditions, allergies, or other special considerations that may affect my child’s participation in soccer and authorize emergency medical treatment for my child in the event of injury or illness during the soccer activities, including transportation to a medical facility if necessary. INITIALS:

I, on behalf of myself and/or my minor, ASSUME ALL OF THE RISKS THAT MAY OR CAN ARISE OUT OF PARTICIPATING IN THE ACTIVITIES, INCLUDING BUT NOT LIMITED TO THE ATHLETIC ACTIVITY ITSELF, USE OF THE EQUIPMENT, FIELD OR FACILITIES, THE ACTS OF OTHERS OR THE UNAVAILABLITY OF EMERGENCY CARE, as well as those Risks described in the preceding paragraph. INITIALS:

I, on behalf of myself and/or my minor and/or our heirs, personal representatives and/or assigns, also agree to indemnify and hold ACADEMIA METODO COIRA LLC, its affiliates, subsidiaries, assigns, partners, attorneys, members, employees, independent contractors, shareholders, officers, directors, and agents or any producers, investors, or any other person or entity associated in any way with the ownership, operation or affiliation with recreational facilities and the creation, production or distribution of ACADEMIA METODO COIRA LLC-related marketing content on any ACADEMIA METODO COIRA LLC-owned website, harmless from any and all claims, causes of actions, lawsuits, arbitrations or proceedings as well as from any expenses, judgments, costs, fees, damages, expenses and/or liabilities, including attorneys’ fees incurred in defending or prosecuting any such claims brought against ACADEMIA METODO COIRA LLC as the result of my or my minor’s participation in the Activities. I hereby allow ACADEMIA METODO COIRA LLC to use my or my minor’s image or likeness without current or future compensation for marketing purposes related to ACADEMIA METODO COIRA LLC. INITIALS:

I, on behalf of myself and/or my minor and/or our heirs, personal representatives and assigns, in consideration for being permitted to participate in the Activities HEREBY RELEASE, WAIVE AND DISCHARGE ACADEMIA METODO COIRA LLC from any and all liability associated with or related to my or my minor’s participation in the Activities and agree NOT TO SUE ACADEMIA METODO COIRA LLC for any reason resulting from or associated with my or my minor’s participation in the Activities. This waiver and release is intended to include all claims for injuries, accidents, illnesses, or property loss, whether known or unknown or anticipated or unanticipated, which are in any way related to or associated with the Activities. INITIALS:

I, on behalf of myself and/or my minor, acknowledge that ACADEMIA METODO COIRA LLC is not obligated and therefore may not to carry insurance on behalf of myself or my minor. INITIALS:

I, on behalf or myself and/or my minor, understand and acknowledge that I/we are surrendering valuable legal rights in this agreement. INITIALS:

I, on behalf or myself and/or my minor, understand and expressly agree that this agreement is intended to be as broad and inclusive as permitted by the law of the State of Florida for which it is used and that if any portion of this agreement is held invalid, it is agreed that the balance of the agreement shall continue in full force and effect and that whatever portion is held invalid shall be interpreted and construed to afford as much protection to ACADEMIA METODO COIRA LLC as permitted by the applicable law. INITIALS:

I am the parent and/or legal guardian of the above-named minor participant. I HAVE READ AND HAVE an appreciation for and an UNDERSTANDING OF THESE RISKS, and affirm that the Player is a minor and his/her participation in these Activities is voluntary. I understand that I am surrendering legal rights on behalf of the minor and myself. I, on behalf of myself and my minor, agree to be bound by all the terms of this agreement and give my consent to allow the minor Player to participate in the Activities described herein. I release and agree to indemnify and hold harmless the Releasees from any kind and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, even if arising from the negligence of the releases to the fullest extent permitted by law. INITIALS:

I further understand that this authorization will remain in effect until revoked in writing by myself or my authorized representative. INITIALS:

Parent/Guardian’s Signature

Sign Here

Parent/Guardian’s Name

Relationship to Minor

Date

ATHLETIC WAIVER OF LIABLITY AND HOLD HARMLESS AGREEMENT

,parent/legal guardian (the “Parent”) of:

(the “Player”) with DOB [mm/dd/yy]

hereby voluntarily sign this FULL RELEASE AND HOLD HARMLESS, with the understanding that there are certain inherent risks associated with participating in sports and/or athletic training that cannot be eliminated. All of these Risks will be present in the activities that you and/or your minor will be participating with ACADEMIA METODO COIRA LLC.

Further:

I certify that the Player is fully covered by medical insurance and that I am fully responsible for all costs incurred, whether covered by a policy or not. I have evaluated the nature of the soccer activity and believe it to be appropriate for my child’s age, skill level, and physical condition. I further certify that Player is in good health. INITIALS:

I understand that adult supervision may not be provided at all times during the soccer activities, and I accept responsibility for ensuring my child’s safety and behavior during these times. INITIALS:

I authorize Player to train and participate in sporting activities with older minors and adults. I understand that playing with older minors and adults may increase the risks of injuries and I hereby accept the risks holding ACADEMIA METODO COIRA LLC harmless. INITIALS:

I understand that there are certain inherent risks associated with participating in sports and/or athletic training that cannot be eliminated. These risks include but are certainly not limited to: (1) minor injuries such as scratches, cuts, bruises and strains; and (2) major injuries such as injuries to the eyes, infection, loss of sight, joint injuries, back injuries, heart attacks, concussions, paralysis and even death. Also included in these risks are the same or similar injuries that might result from using training equipment, actual use of a field or training facilities, the acts of others or from the unavailability of emergency staff or emergency medical care (hereinafter we shall define all of these risks and potential injuries as “Risks”). All of these Risks will be present in the activities that you and/or your minor will be participating with ACADEMIA METODO COIRA LLC. INITIALS:

I, on behalf of myself and/or my minor, acknowledge that ACADEMIA METODO COIRA LLC is not obligated and therefore may not to carry insurance on behalf of myself or my minor. INITIALS:

I, on behalf of myself and/or my minor participant hereby grant ACADEMIA METODO COIRA LLC its legal representatives, agents, successors or assigns, permission to use my likeness in photographs, movie films, videotapes and/or sound records, or any part thereof in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of ACADEMIA METODO COIRA LLC and will not be returned. I further irrevocably authorize ACADEMIA METODO COIRA LLC to edit, alter, copy, exhibit, publish or distribute the photographs, movie films, videotapes and/or sound records, for purposes of publicizing programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. INITIALS:

I, on behalf or myself and/or my minor, understand and acknowledge that I/we are surrendering valuable legal rights in this agreement. INITIALS:

I further understand that this authorization will remain in effect until revoked in writing by myself or my authorized representative. INITIALS:

Parent/Guardian’s Signature

Sign Here

Parent/Guardian’s Name

Relationship to Minor

Date

Email:

Phone:

PLAYER PHOTO:

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