Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Primary Phone Number *

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Player Name *

First Name

Last Name

Player's Date of Birth *

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Sphinx Soccer Club Teams Invitational Tryouts 2023/24

Sphinx Soccer 2023/24

Summer Clinics

Sphinx Soccer Club Teams 23/24

Sphinx Soccer Clinics 23/24

Program/Clinic Start Date

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Sphinx Soccer Academy Participation Waiver *

I understand that playing or participating in soccer is a physical activity involving risk or injury. I understand that in any contact sport, such as the sport involved at this clinic, game or practice, an athletic participant can be seriously injured. I am aware that the dangers and risks of my child's/ward's playing or participating in the above sport include, but are not limited to, falls, contact or collisions with other participants, equipment and facilities. Additionally, I acknowledge the effects of weather on participants, including cold, high heat and humidity (facilities are not guaranteed to be air conditioned). I have certified to Coach Mo Elsayed and Sphinx Soccer Academy, by my signature below, that my child is in good health and physical condition and sufficiently able to participate in the Sphinx Soccer Academy events, clinics, practices and games. I have advised Coach Mo Elsayed and Sphinx Soccer Academy and its staff of any limitations on my child's/ward's activities for medical reasons in writing. Knowing and having been informed of the potential dangers and risks associated with playing the above sport, and in consideration of my child/ward being allowed to participate in the event, clinic, practice or games, I hereby agree on behalf of myself, my family members and my child/ward to assume all such risks and, further, to waive, release, discharge and hold harmless Coach Mo Elsayed and Sphinx Soccer Academy and including the coaching staff employed by Sphinx Soccer Academy, from any and all liability, actions, causes of actions, claims or demands for personal injury and/or illness of any kind or nature, and any other claims whatsoever arising out of, or in any way connected with, my child's/ward's playing and participating in the above sport, event, clinic, game or practice of Coach Mo Elsayed, Sphinx Soccer Academy and Sphinx Soccer Academy staff. I fully understand that the participant will be held responsible for all property damage. This Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. I hereby consent to permit Coach Mo Elsayed and Sphinx Soccer Academy staff working to provide first-aid or call EMT in emergency for my child/ward, according to their best judgment, in the event he/she suffers an injury or illness while participating any Sphinx Soccer event, clinic, practices and/or games. Sphinx Soccer Academy is not responsible for personal items that are lost, stolen or damaged. I also understand that pictures, videos or any media taken at any Sphinx Soccer Academy events, clinics, games, and practices can be used in any Sphinx Soccer Academy promotional materials and media.

I Agree

Sphinx Soccer Academy Covid-19 Waiver *

Participants registered in Sphinx Soccer Acedemy clinics & programs are required to complete the COVID-19 wavier/release below. Please include the primary email address and phone number where the parent/guardian can be reached while clinics or trainings are in progress. WAIVER/RELEASE/ASSUMPTION OF RISK FOR COMMUNICABLE DISEASES INCLUDING COVID-19 In consideration of being allowed to participate in programs, related events, or activities offered by Sphinx soccer academy. (“Sphinx Soccer”), including the right to enter access its fields, the undersigned acknowledges, appreciates, understands, and agrees that: 1. Participation includes possible exposure to, and illness from, infectious diseases including but not limited to MRSA, influenza, and COVID-19 (collectively “Infectious Diseases”). While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; 2. Sphinx Soccer Academy cannot prevent you or your child(ren) from becoming exposed to, contracting, or spreading Infectious Diseases while participating in Sphinx Soccer Academy programs or accessing its p fields. It is not possible to prevent against the presence of Infectious Diseases. Therefore, if you choose to utilize services or access Sphinx Soccer Academy fields, you may be exposing yourself to Infectious Diseases and or increasing your risk of contracting or spreading Infectious Diseases; 3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against Infectious Diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation, and bring such to the attention of the nearest Sphinx Soccer Academy official immediately; 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, HOLD HARMLESS, AND AGREE TO INDEMNIFY Sphinx Soccer Academy, their officers, directors, officials, agents, employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the programs (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law; 5. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS PERTAINING TO INFECTIOUS DISEASES, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and 6. I certify if at any time following the execution of this release, myself or my child(ren) (1) experience any symptoms of COVID-19, (2) have come in contact with any individual who tested positive for COVID-19, (3) have tested positive for COVID-19, or (4) have traveled outside the United States within the last 14 days, that I and or my child(ren) will abstain from participating in all Sphinx socceractivities and will not under any circumstance travel to the premises for at least Thirty (30) days. Furthermore, I certify that if myself or my child(ren) have been diagnosed with COVID-19 that I will not return to the premises or participate in clinics until after Thirty (30) days have elapsed from diagnosis and myself or my child(ren) have tested negative for COVID-19. FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law. I HAVE READ THIS WAIVER/RELEASE/ASSUMPTION OF RISK FOR COMMUNICABLE DISEASES INCLUDING COVID-19, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. *

I Agree

Date *

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