Transport - Elk Grove Soccer

Transport Waiver

*This form needs to be completed by all parents/guardians prior to a trip.

Section 1: Primary Contact Information

Parent Name *

First

Last

Phone *

Email *

Confirm Email

Section 2: Player Information

Name of Player *

First

Last

Phone *

Phone number is needed in case we need to contact the player on the trip

Current Team *

Player's Birthdate (mm/dd/yyyy) *

Gender? *

Any special dietary requirements/medical conditions

Section 3: Travel Information

Date and Time of Departure *

Date

Time

Departure Airport *

If traveling by another form of transport, please add it here and with whom you are traveling.

Departure Airline and Flight Number (if applicable) *

If not traveling by plane, please add other description of transport here.

Arrival Time at Destination *

Date and Time of Return *

Date

Time

Return Airline and Flight Number (if applicable) *

If not traveling by plane, please add other description of transport here.

Arrival Time back to Sacramento Airport *

I have read and agree to the Terms of Service Agreement listed below

I authorize Elk Grove Soccer and any party assigned by Elk Grove Soccer to transport my minor child in a company Bus or Van, driven by an individual authorized by Elk Grove Soccer and any party assigned by Elk Grove Soccer. I understand my child is expected to follow all applicable laws regarding riding in a motor vehicle and is expected to follow the directions provided by the driver and/or staff or volunteer. I understand participation in the identified event is not a requirement for participation in the program. I have read, understand, and discussed with my child:

• My child will travel in a motor vehicle driven by an adult and my child is to wear their safety belt during travel;
• My child is expected to listen to supervising staff/driver, respect staff and other children, the vehicles they ride in, and the people they travel with during the trip;
• Riding in a motor vehicle may result in personal injuries or death from wrecks, collisions or acts by riders, other drivers, or objects; and,
• My child is to remain in their seat and not be disruptive to the driver of the vehicle.

I recognize participation in this activity, as with any activity involving motor vehicle transportation, my child may risk personal injury or permanent loss. I hereby attest and verify I have been advised of the potential risks, and I have full knowledge of the risks involved in this activity, and I assume any expenses incurred in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses.

As a condition for the transportation received, I, for myself, my child, my executors and assigns, further agree to release and forever discharge Elk Grove Soccer, and their agents, officers, independent contractors, employees and volunteers from any claim that I might have myself or that I could bring on my child’s behalf with regard to any damages, demands or actions whatsoever, including those based on negligence, in any manner arising out of this transportation.

I have read this entire waiver and authorization form, I fully understand its terms and conditions, and I agree to be legally bound by its terms.

Signature *

Clear Signature

Please sign

Section 1: Primary Contact Information

Section 2: Player Information

Section 3: Travel Information

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Section 1: Primary Contact Information

Section 2: Player Information

Section 3: Travel Information

You May Also Like

CHECK BACK SOON

WE ARE UPDATINGOUR REGISTRATION

CHECK BACK SHORTLY!

WE ARE UPDATING
OUR REGISTRATION