By submitting this form, I, the parent/guardian of the registrant, a minor, agree
that I and the registrant will abide by the rules of the US
Club Soccer, its affiliated organization and sponsors. I
hereby release, discharge and otherwise indemnify the all rights to the Placer United organization to use any photos taken of the
registrant at any Placer United related function or event for the
purpose of promotion.
Recognizing the possibility of physical injury associated
with soccer and in consideration for the US Club Soccer
accepting the registrant for its soccer program and
activities ("The program"), I hereby release, discharge and
otherwise indemnify the US Club Soccer, its affiliated
organizations and others, their employees and associated
personnel, including the owners of the fields and facilities
utilized for the program against any claims by or on behalf
of the registrant as a result of the registrant's
participation in the program and/or being transported to or
from the game, which transportation I hereby authorize.
Visual Consent
I give Placer United Soccer Club and any photographer hired by them, permission to make photographs, videotapes, films, slideshows, or other likenesses of my child or legal ward. I hereby grant Placer United Soccer Club and any photographer hired by them, the unrestricted right to copyright any of the above-mentioned materials containing images of me, my child or legal ward, as well as the unrestricted right to use and reuse them, with or without caption information, in part or in whole, in any manor, for any purpose and in any medium now known of hereinafter invented. These rights include, but are not limited to, the right to publish copy, distribute, alter, license and publicly display these materials and images for editorial, trade, marketing and/or advertising purposes. I also grant Placer United Soccer Club and any photographer hired by them, and its licensees the unrestricted right to use and disclose my name in connection with the use of the above materials.
I understand and I agree I will not be paid for any of the described above.
I also waive, and release and discharge, Placer United Soccer Club and any photographer hired by them, any and all claims arising out of or in connection with any use of the materials, caption information and images above, including any and all claims for libel, defamation and/or invasion of privacy or publicity. I realize I cannot withdraw my consent after I sign this form and I realize this form is binding on me and my heirs, legal representatives and assigns.
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