New Covenant Academy Soccer

Name:___________________________

Grade:___________________________

NCA Student:       Yes        No

Gender:                  Male           Female

Shirt Size: Youth—S, M, L

               Adult—-S, M, L

Parent(s)/Guardian(s):

________________________________

Phone:__________________________

Email:___________________________

              (if not a NCA student)

Return this form with $45 fee by Wednesday, March 14th. 

*Please make checks payable to

Eric Crain

Release—Waiver of Liability

Child’s Name:

____________________________________

I/we  the undersigned on behalf of myself and my/our child listed above understand all the risk associated with the sport of soccer  and soccer intramurals participation and do hereby hold harmless and release, waive and covenant not to sue any member of the league coaching staff, New Covenant Academy (and its employees and board members) or the Fellowship of Christian Athletes (and its employees and board members) from any and all claims of liability.  I/we further consent my/our child is physically able to participate in the league, and I/we authorize the coaching members of the league to escort my/our child to the hospital upon emergency.  In addition, I/we verify my/our child has accident insurance coverage and I/we will accept all financial responsibilities of injuries arising from participation in this league.

Parent/Gaurdian Signature:

________________________________________

Date:____________________________________