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In consideration of participating in practice sessions conducted or supervised by 50/50 Futbol, LLC (“Trainer”), the undersigned, or the parent or guardian of the minor child listed below, agrees and acknowledges the following:

I hereby acknowledge and accept that the practice sessions and soccer related activities conducted or supervised by Trainer may involve inherent risks and could result in injury. I know the nature of the activities that I/my child is participating in and believe that I/my child am/is qualified to participate in the activities. I expressly state that I am (or my child, in the case of a minor trainee) is in good health and has no limitations that would preclude participation in such training sessions and soccer related activities. I acknowledge that if I deem any such training sessions or activities to be unsafe, I will not participate or will not have my child participate in the activities.

I hereby release, indemnify and discharge Trainer and Trainer’s coaching staff, employees, assistants, agents and successors and assigns from any and all liabilities, suits, claims and damages (including attorneys’ fees) incurred by me or my child arising out of my or my child’s participation in soccer related activities, including, without limitation, all claims for property damage, personal injuries or wrongful death, other than as a result of intentional misconduct of Trainer.

If signed by a parent or guardian, I hereby affirm that I am the parent or legal guardian of the child listed below.

Trainee’s Name:(Required)

Trainee’s Age:(Required)

Guardian’s Name:(Required)

Phone/Contact Information:(Required)

Signature(Required)

Date:(Required)

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