REGISTRATION FORM FOR YOUTH PLAYERS

This form must remain for at least five (5) years or until the player is 18 years old, whichever is later.

I hereby give consent to the previously appointed club to register with Las Vegas Champions League Soccer. I understand that at any time I can be registered with only one of the Las Vegas Champions League Soccer member clubs [Note: It is not necessary to fill out this form as soon as the player continues with this club. The form will remain with the club, unless requested by Las Vegas Champions League Soccer.]

PLAYER MEDICAL INFORMATION

In the event of an emergency when the parent / guardian cannot be reached, please call

AUTHORIZATION OF MEDICAL TREATMENT AND WAIVER OF LIABILITY

I hereby consent that physical trainers, technical trainers, managers, medical directors, emergency medical technicians, nurses, medical treatment facilities, and / or medical or dental doctors, or staff associate, provide medical assistance and / or treatment. I understand that the treatment of injuries will be based on the information on this form. I hereby authorize emergency transportation of the participant to the medical treatment facility when any individual named above deems it necessary. I acknowledge the possibility of physical injury associated with soccer, and hereby release, discharge, and in any way indemnify my club and team, Las Vegas Champions League Soccer, its sponsors, US Soccer Federation and affiliated organizations, and employees. and personnel associated with said organizations, against any legal claim of the player as a result of the players participation in the Las Vegas Champions League Soccer programs and / or transportation to and from any of these programs, which I hereby also authorize.

DATA OF THE EQUIPMENT TO INTEGRATE