This form must be completed for each soccer player. If the player is under 18 years old,
it must be signed by the player's parent or legal guardian. No player will be allowed to
participate in Texarkana Rovers FC practices or games without this form being properly executed and on file.
Player Status Agreement
Risk Acknowledgment
I acknowledge that soccer is a physical, contact sport that involves the inherent risk of injury.
I assume all risks and hazards associated with participation in the sport. I am in proper physical
condition to participate in soccer practices and games and have no illness, disease or existing
injury or physical defect that would be aggravated by participation. I will inform my coach if
this status changes. I 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 have a current medical consent form in force.
I shall wear shinguards, properly-fitted and appropriate shoes, and other protective equipment
(e.g., mouth-pieces), as provided by soccer rules, to all events. I shall not wear any items that
are prohibited by the rules or Texarkana Rovers FC.
Insurance and Medical Expenses
Photo and Media Release
Complete Liability Release
I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue,
the United States Soccer Federation, the Texas State Soccer Association, Texarkana Rovers Football Club,
their associated directors, administrators, officers, managers, employees, coaches, referees, trainers,
volunteers, sponsors and advertisers, and other agents, estates or executors, including family members,
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 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. My signature
attests to this on behalf of myself and my executors, personal representatives, administrators,
heirs, next-of-kin, successors, and assigns.