F.C.S.C. Santa Clarita soccer
www.fcscprosoccer.com
F.C.S.C. Affiliate of F.C. New York
PROFESSIONAL SOCCER OF THE NATIONAL PREMIER SOCCER LEAGUE
Waiver Statements
Medical Coverage
All players must have their own medical coverage. F.C.S.C provides only supplemental coverage after your
insurance policy has been utilized. Players are responsible for their own insurance. Player will not be allowed to
participate unless this from, is sign by the player and or the parent or guardian of the player if under the age of 18
Statement of Disclaimer
I/We, the undersigned, hereby certify that I (we) am (are) the parent or legal guardian of the player. I hereby give
permission to the staff of the try-outs to seek, during the period of the try-outs, appropriate medical attention in the
event of accident, injury, or illness. I will be responsible for any and all costs of medical attention and treatment. I/We,
the undersigned hereby acknowledge and understand that United Sports /F.C.S.C, is a privately operated
sports organization. The try-outs is under the sole control, and supervision of F.C.S.C. And United Sports
International. I/We, the undersigned, for ourselves, our heirs, executors and administrators, waive, release, and forever
discharge F.C.S.C. and United Sports International and its staff, officers, agents, employees, representatives,
successors and assigns from any and all liability, claims, demands, actions, and causes of actions whatsoever arising
out of or related to any loss, personal injury, death, or property damage that may be sustained or occur during
participation in try-outs.
_________________________________________________________________
Signature (parent or guardian) and player if payer is under the age of 18 date
_________________________________________________________________
Signature of Player if over 18 years of age. Date
Any questions email FCSC. fcsc@fcscprosoccer.com
Bring a copy your application to the try outs.
If you are paying by check (RETURN CHECKS ARE SUBJECT TO A $45.00 RETURN
CHECK CHARGE PLUS BANK CHARGES. CHECKS MUST BE MADE PAYABLE TO
UNITED SPORTS INT. INC.
PLEASE MAIL CHECK, APPLICATION AND WAIVER TO
PO BOX 5145, LANCASTER, CA. 93539
Medical Coverage
All players must have their own medical coverage. F.C.S.C provides only supplemental coverage after your
insurance policy has been utilized. Players are responsible for their own insurance. Player will not be allowed to
participate unless this from, is sign by the player and or the parent or guardian of the player if under the age of 18
Statement of Disclaimer
I/We, the undersigned, hereby certify that I (we) am (are) the parent or legal guardian of the player. I hereby give
permission to the staff of the try-outs to seek, during the period of the try-outs, appropriate medical attention in the
event of accident, injury, or illness. I will be responsible for any and all costs of medical attention and treatment. I/We,
the undersigned hereby acknowledge and understand that United Sports /F.C.S.C, is a privately operated
sports organization. The try-outs is under the sole control, and supervision of F.C.S.C. And United Sports
International. I/We, the undersigned, for ourselves, our heirs, executors and administrators, waive, release, and forever
discharge F.C.S.C. and United Sports International and its staff, officers, agents, employees, representatives,
successors and assigns from any and all liability, claims, demands, actions, and causes of actions whatsoever arising
out of or related to any loss, personal injury, death, or property damage that may be sustained or occur during
participation in try-outs.
_________________________________________________________________
Signature (parent or guardian) and player if payer is under the age of 18 date
_________________________________________________________________
Signature of Player if over 18 years of age. Date
Any questions email FCSC. fcsc@fcscprosoccer.com
Bring a copy your application to the try outs.
If you are paying by check (RETURN CHECKS ARE SUBJECT TO A $45.00 RETURN
CHECK CHARGE PLUS BANK CHARGES. CHECKS MUST BE MADE PAYABLE TO
UNITED SPORTS INT. INC.
PLEASE MAIL CHECK, APPLICATION AND WAIVER TO
PO BOX 5145, LANCASTER, CA. 93539
