PLAYER INTEREST FORM (2019-2020)

PLAYER INTEREST FORM (2019-2020)

Note: Tryouts and Team offers have been made for the 2019-2020 season. Many teams may have filled all of their team slots.

Club Independent (CI) is looking to form new teams in the upcoming season(s). If you are interested in playing for a Club Independent (CI) team, please fill out the following form. We have boys and girls playing on CI teams from Decatur, Hampton Cove, Hartselle, Huntsville, Madison, Monrovia, and Tuscaloosa, AL.

PLAYER INFORMATION:

Medical Treatment:

CONSENT FOR MEDICAL TREATMENT (MINOR) – As the parent or legal guardian of the above named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve life, limb or well-being of my dependent.

Release:

I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of Club Independent (CI), its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the Club Independent (CI) accepting the registrant for its soccer programs and activities (the “Programs”), I hereby release, discharge and/or otherwise indemnify Club Independent (CI), its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize. In addition – I authorize my or my child’s photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), television, video, websites, social media, and radio coverage of Club Independent (CI), without compensation.


or cancel