Northville Soccer Association Registration

Recognizing the possibility of physical injury associated with soccer and in consideration for the USSF/US Youth Soccer and its affiliates accepting the registrant for its soccer programs and activities (the ‘Programs’), I hereby release, discharge and/or otherwise indemnify the USSF/US Youth Soccer, its affiliated organizations and sponsors, their employees and associated personnel, including the owner of fields and facilities utilized for the Programs against any claim by or on behalf of the registrant as a result of the registrant’s participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize. My son/daughter has received a physical examination by a physician and has been found physically capable of participating in the Programs. I hereby give my consent to have an athletic trainer and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of each assistance and/or treatment.

Northville Soccer is a volunteer organization. Parents may be requested to volunteer as a coach. Training is provided.

I / We, the undersigned, hereby certify that I (we) am (are) the parent or legal guardian of the child. In consideration of being allowed, to participate in any way in Northville Soccer Association (NSA) sanctioned soccer activities, the undersigned:
1. Acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe non-economic and economic losses which might result not only from their own actions or inaction’s but the negligence of others, the rules of play, or the condition of the premises or of any equipment used, and acknowledge further, that there may be other risks not known or not reasonably foreseeable at this time;
2. Assumes all the foregoing risks and accepts personal responsibility for the damages following such injury, permanent disability or death.
3. Releases, waives, discharges, and covenants not to sue nor make claim against the NSA, City of Northville, Northville Township, (including the Department of Parks and Recreation) or their respective administrators, directors, agents, coaches and employees or owners/lessors of premises utilized, for losses or damages on account of injury, including death or damages to property, caused or alleged to be caused in whole or in part by the negligence of the ‘Releasee’.
4. As a parent I assume the responsibility for the safety of my child: walking them to the fields, inspecting the fields for dangerous objects, faulty equipment, and holes, determining when inclement weather could endanger my child and acting to take them to safety, and to keep my child from climbing on soccer goals or nets. I will take responsibility for any litter I or my children create and do my best to keep all our soccer areas clean & safe.
5. I attest that I am eighteen (18) years or older, and that my child is physically fit and have no known medical conditions which will prohibit participation in the sport.
6. In further consideration for my child’s participation, I hereby agree to hold harmless, defend and indemnify the City of Northville, Township of Northville, Northville Parks and Recreation Department, Northville Soccer Association and their respective administrators, directors, agents, coaches and employees and owners and lessors of premises utilized, from any claims or causes of action or liability resulting from my child’s conduct or injury resulting from participation in the program. I further agree to accept and abide by all the rules, regulations, code of conduct and policies stated by the Northville Soccer Association.
7. As the parent/legal guardian of the above-named player(s), I hereby consent to and authorize the use and reproduction by Northville Soccer Association – Michigan Rush, or anyone authorized by Northville Soccer Association – Michigan Rush, of any and all photographs, video, quotes & audio that are taken of me and/or my child(ren) or family without compensation to me. I hereby acknowledge that I have read and understood the terms of this release.
8. Give a completed Concussion form available here to your assigned coach on the first day of practice or game.