Participant Information

Waiver & Release of Liability

As a player, parent or guardian for the above referenced athlete, I hereby authorize the staff of Liverpool FC International Academy SoCal and USA Junior Soccer to act on my behalf according to their best judgment in an emergency requiring medical treatment to secure medical treatment for the player named above. I hereby release of Liverpool FC International Academy SoCal and USA Junior Soccer, its staff, officers, agents, employees, 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, or property damage that might be sustained or occur during participation in program activities or while at or traveling to and from.

I authorize Liverpool FC International Academy SoCal to use photos, videos and or other likeness’ of myself for any promotional materials regarding youth soccer programs, facilities, or services. Such likeness’ will not be sold to other parties. Materials bearing these likenesses may be distributed for free to the public and posted on the web. Liverpool FC International Academy SoCal reserves the right to use any photo or likeness for a time period beginning when this release is electronically agreed to and ending upon written request of participant, parent or legal guardian.