Aledo Soccer Team - Waiver - Aledo Soccer Club

FREE Open Training – Medical Release & Player Info

Player Name(Required)

First Last

Date of Birth(Required)

Gender(Required)

Parent/Guardian Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

Doctor's Name(Required)

First Last

Doctor's Phone Number(Required)

Allergies or Medical Conditions

Waiver & Consent

By signing below, I acknowledge and agree to the following:
- I understand that participation in soccer carries inherent risk of injury.
- I release Aledo Soccer Club, Frontrunner Fieldhouse, its staff, and partners from liability for injuries sustained.
- I authorize ASC personnel to secure emergency medical care for my child if necessary.
- My child is physically fit and medically cleared to participate in soccer activities.

Parent/Guardian Signature(Required)

Date(Required)

FREE Open Training – Medical Release & Player Info

Waiver & Consent

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