​I, the undersigned am the (or one of the) custodial parents/legal guardians of (participant or my child). I understand that, although The Players Sports Academy, LLC (hereinafter “PSA”) conducts its programs in a manner designed to protect the health and safety of participants, there are dangers and risks of participating in the PSA program listed above. These risks include, but are not limited to, death, serious neck and spinal injuries which may result in complete or partial paralysis, brain damage, serious injury to virtually all internal organs, other aspects of my child’s body, general health and well-being. I understand that the dangers and risks of participating in this program may result not only in serious injury, but in a serious impairment of my child’s future abilities to earn a living, to engage in other business, social and recreational activities, and generally to enjoy life.

In consideration of PSA permitting my child to engage in all activities of this program, I hereby give my permission for my child to participate in the program and I voluntarily agree on my own behalf and on behalf of my child to release and discharge PSA, its employees, agents, representatives, coaches and volunteers from, without limitation, any and all actions, causes of action, claims, demands, damages, costs, expenses, compensation, and/or suits at law or in equity, on account of or relating to any act or omission by PSA, its employees, agents, representatives, coaches or volunteers. I also agree to defend, indemnify and save PSA harmless from and against any and all liability, actions, causes of action, debts, claims, demands, or suits at law or in equity of any kind and nature whatsoever which may arise, directly or indirectly, by or in connection with my child’s participation in this PSA program. The terms hereof shall serve as a release for my heirs, estate, executor, administrator, and assignees, and the heirs, estate, executor, administrator, and assignees of the participant, and for all members of my family.
I acknowledge that my child is participating in a soccer program and that I am aware that it is a contact sport involving greater risk of injury than sports that do not involve physical contact. Furthermore, I acknowledge that I have read and will support the policies (rules & regulations) that have been set forth for participants in this program. In addition, I acknowledge and understand that my child may be dismissed from the program for violations of PSA policies and/or refusal to abide by instructions from PSA and its coaches.
Consent for Treatment
I hereby give my consent to have my child treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in this program. I understand that PSA will provide no medical insurance for such treatment, and that the cost thereof will be at my expense.