Insurance & Media ( Video/Photo), Release Liability
Futsal is a physical, contact, sport that involves the risk of injury. I assume all risks and hazards associated with my participation in the sport. I am in proper physical condition to participate in soccer/futsal practices and games and have no illness, disease or existing injury or physical defect that would be aggravated by my participation. I will inform the coach or supervisor if this status changes. I further acknowledge that this risk may involve loss or damage to me or my property, including the risk of death, or other unforeseen consequences, including those which may be due to the unavailability of immediate emergency medical care. I will wear shin guards, properly-fitted and appropriate shoes, and other protective equipment (e.g., mouth-pieces), as provided by soccer/futsal rules, to all events. I should have a current, active, personal injury insurance policy in force, which covers my participation. Under any condition, I am responsible for any and all medical expenses arising from my participation, both in practices and games and while traveling to and from these events. I have the right and responsibility to inspect the equipment and facilities prior to events and, if I believe that anything may be unsafe, I will advise the coach or supervisor of the condition and may refuse to participate.
Participation assumes consent. I authorize my photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), social media, website, television, video, or radio coverage of FDP Futsal, without compensation. I authorize that an unaltered copy of this form may be generated and given to the officers or directors of other organization in order to allow my participation in their soccer programs, if the form is required and I have requested to participate. I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue, the United States Soccer Federation, US Youth Soccer, US Club Soccer, New Jersey Youth Soccer, US Youth Futsal, CJF Futsal, the facility used by CJF Futsal, their associated directors, administrators, officers, managers, employees, coaches, trainers, volunteers, sponsors and advertisers, and other agents, estates or executors, from any and all liability incurred in the conduct of, and my participation in, their soccer programs. This includes owners, lessors, and lessees of premises, municipalities, government agencies, successors, heirs, and assigns.
I agree that FDP Futsal may use such photographs and or video of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
I have completely read this document and fully understand its contents. I acknowledge that I have given up substantial rights by accepting this document and that I do so voluntarily. By submitting this registration I agree to all of the above terms and conditions and attest to this on behalf of myself and my executors, personal representatives, administrators, heirs, next-of-kin, successors, and assigns.
"Lisandro without FDP wouldn’t be where he is right now"
Ana Lopez
"Thank you so much for all your help Lisandro without FDP he wouldn’t be where he is right now thanks to you and Coach Farrell. We are so thankful. He has been training a lot with coach Farrell to stay in shape to do his best performance in Brazil to represent FDP the best way he can"
