Page 1 of 2

Tiny Terrors: After School Soccer Academy

Join the Tampa Bay Terror FC for bi-weekly youth trainings.

All players receive professional training, and standout talent will be scouted and invited to join the Tampa Bay Terror FC Youth Academy.

Games will be organized against other local youth clubs on weekends.

Who: U6 - U9 Boys & Girls

When: Tue, Wed, Thur - 4:30 PM-5:30PM

Where: Long Lake Ranch Community Center Field

Pricing: $150 per month (8 Sessions)

Parent Information

Parent Name

Parent Contact Information

Emergency Contact

Relation to Child

Emergency Contact Name

Emergency Contact Information


Child's Information

Child's Name

Child's Gender

Child's Date of Birth

Are there any existing medical conditions or allergies we should be aware of?


Waivers & Acknowledgement

Assumption of Risk & Waiver of Liability

I, the undersigned parent/guardian, hereby assume all risks of injury and release Tampa Bay Terror FC, its owners, coaches, volunteers, and agents from any and all liability for personal injury arising from my child's participation in clinic activities.

NOTICE TO THE MINOR CHILD'S NATURAL GUARDIAN

READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF TAMPA BAY TERROR FC USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD'S RIGHT AND YOUR RIGHT TO RECOVER FROM TAMPA BAY TERROR FC IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND TAMPA BAY TERROR FC HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

Liability
A
B

Medical Consent I hereby grant permission to the staff of Tampa Bay Terror FC to render preventative, first aid, or emergency medical care that they deem necessary for my child's health and well-being. In the event of serious injury, I authorize emergency medical transport.

Medical Consent
A
B

Media Release

I grant Tampa Bay Terror FC permission to use photographs, videos, or other digital media of my child (the participant) in any and all of its publications, including web-based publications and social media, without payment or other consideration.

MEDIA RELEASE
A
B