Girls Soccer Sign Up Player First and Last Name: * First Name Last Name Email * Date of Birth * (Minimum Age 5yrs & Maximum Age 13yrs) MM DD YYYY Phone Number * (###) ### #### Please select the group you are registering for: * Group 1 (5-8yrs) Group 2 (9-13yrs) Choose Your Practice Days * Monday 4:45 PM - 6:00 PM Wednesday 4:45 PM - 6:00 PM Emergency Contact First and Last Name: * First Name Last Name Ahlam Soccer Academy Sports Waiver Form * Waiver Section – Please Read, Initial and Sign**READ CAREFULLY BEFORE SIGNING** Release and Indemnity (Adult – 18 years of age or over; Minor – under 18 years of age) In consideration of my, or my child’s, participation in the above-referenced Activity/Sport Type, I agree to assume the risks incidental to such participation and use which risks may include, among other things, major and/or minor physical injury, including death or disfigurement. The risks may include, but are not limited to, those caused by aggressive play, unsafe play, terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, and actions of other people including, but not limited to, participants, volunteers, spectators, coaches, and lack of hydration, or general lack of physical conditioning. I acknowledge that I have or will inspect the facilities and equipment to be utilized in conjunction with the Activity and, if I believe any unsafe condition exists, I will immediately advise an activity official of such condition and will refuse participation until such condition is corrected. On my own or my child’s behalf, and on behalf of my or my child’s heirs, executors, administrators, and next of kin: I hereby waive, release, covenant not to sue, and forever discharge Ahlam Soccer Academy, together with any and all related entities, and the officers, directors, employees, and volunteers of any of them, and any and all Activity sponsors or charities, and each of their parent, related and affiliated companies, and the officers, directors, employees, agents, Board of Supervisors, representatives, successors, and assigns of each of the foregoing entities (collectively, the “Released Parties”), of and from all liabilities, claims, actions, damages, costs, or expenses of any nature arising out of or in any way connected with my or my child’s participation in such activities. I further agree to indemnify and hold each of the Released Parties harmless against any and all such liabilities, claims, actions, damages, costs, or expenses including, but not limited to, all attorney's fees and disbursements up through and including any appeal. I understand that this Release and Indemnity Agreement includes any claims based on the negligence, carelessness, action, or inaction, of any of the above Released Parties, and from dangerous or defective equipment or property owned, maintained or controlled by Released Parties and covers bodily injury (including death), property damage, and loss by theft or otherwise, whether suffered by me or my child either before or after such participation. I declare that I, or my child, are physically fit with the skill level required to participate in this Activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my, or my child's participation. I further authorize medical treatment for myself, or my child, at my cost, if the need arises. I also understand that my child or I may be required to leave the Activity venue should my child or I exhibit undesirable conduct. This Waiver and Permission Form shall be governed by the laws of the State of California, and any legal action relating to or arising out of this Waiver and Permission Form shall be commenced exclusively in the Orange County Superior Court, California (or if such Court shall not have jurisdiction over the subject matter thereof, then to such other court sitting in said county and having subject matter jurisdiction), and I specifically waive the right to trial by jury. I certify I am 18 years of age or older and if I am executing this Waiver and Permission Form on behalf of my child, the information set forth above pertaining to my child is true and accurate and within my legal authority. I have read and understand the above waiver. Signature * Thank you for choosing Ahlam Soccer Academy. We will reach out to you very soon. Looking forward to seeing your child on the field!For any questions, please reach out to us via email at Ahlamsocceracademy@gmail.com or via text at (424)393-9720.Best regards,Ahlam Family.