Flagler Soccer - (Palm Coast, FL) - powered by LeagueLineup.com

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Adult 7v7 Season 21 Player Registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Phone:

* Birthdate:

* Email:

* Gender:

Team name:

Registering as a free agent

Are you willing to be a team captain if we helped you find players?:

Yes

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

WAIVER INFORMATION

By clicking "Yes, I agree" below and completing the registration process, you are confirming that you are "Player Name" (in this agreement, "You") and agree to the following agreement: This agreement releases Flagler Soccer LLC from all liability relating to injuries that may occur (during activity, on location, etc.) By selecting "Yes, I agree" you agree to hold Flagler Soccer LLC entirely free from any liability including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence. You also acknowledge the risks involved in Soccer. These include but are not limited to any sort of sprains, breaks, or any other injury. You swear that you are participating voluntarily. Additionally, you do not have any conditions that will increase your likelihood of experiencing injuries while engaging in this activity. By selecting "Yes, I agree" you forfeit all rights to bring a suit against Flagler Soccer LLC. You will also make every effort to obey safety precautions and follow league rules.

I agree with the above *

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