Player letter of responsibility
FIRST NAME __________________________ LAST NAME _______________________________________________________
Street address: __________________________________________________________CITY ____________________________
State: ________ ___________________________ Code __________________e-mail ________________________________
Tel: __________________________Ofc.: ________________________________ Móvil ___________________________
Birth date _______________________________________
Through this document, I promise to take responsibility, respect and comply with the schedules, keep a good discipline and the regulations and requirements established by ANFEEU for the proper development and presentation of the team in the tournaments
Player signature: ______________________________________________________
By registering as a player -in ANFEEU understand that by attending different programs and use different facilities anywhere ANFEEU team participate do so at your own risk, anfeeu and its employees or agents with which work will not be responsible for any personal injury suffered by the participant on the programs organized by anfeeu and through this document with his signature certifies that liberates forever from any liability, claims, demands, damages or causes of action, present or future results from participation in any program organized by ANFEEU.
Authorization for Medical Treatment
Player’s Name ______________________________Date of Birth:______________ SSN:____________
Address: _________________________City: __________________________St: ______ Zip: ________
Father’s Name: ___________________________Home Phone: ___________________ Work Phone:
Mother’s Name: ____________________________Cell Phone:________________Home____________
Medical &/or Hospital Insurance Co: ___________________________________Phone: ____________
Policy Holder: _______________________ Grp #______________Policy or Insured #:______________
In case I cannot be reached, any of the following is designated to act in my behalf:
1. Coach _______________________________________ 2. Assistant Coach ____________________
3. Team Manager _________________________________________ Phone: ____________________
Address: __________________________City: _________________________ St: ________ Zip______:
5. Relative: ________________________relationship: __________________Phone:________________
Address: _________________________City: _____________________ St: ________ Zip: ___________
PARENT’S APPROVAL AND MEDICAL AUTHORIZATION
Recognizing the possibility of physical injury associated with soccer and in consideration for the ANFEEU and its affiliated organizations accepting the registrant for its soccer programs and activities (the “Programs”), I hereby release, discharge and/or otherwise indemnify the ANFEEU, 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 participating 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.
SIGNATURE (PARENT OR GUARDIAN) _________________________________DATE: _________________
Duly subscribed and sworn to before me, this _________day of ___________________ 20 ___________
NOTARY (or Attorney) SIGNATURE: __________________________________________________________
129 SOUTH MAIN ST
In Order to Practice it is Required to:
Be Modest in Victory.
Maintain Serenity in Defeat.
Recognize the Virtues and Merits in Others.
Respect and Accept Decisions of the Referees.
Accept that Referees and Make Mistakes Because they're Human too.
Encourage your team and don't Offend Others.
Respect the Feelings of Fans.
Be together in Your Triumphs and Defeats.
Maintain a Deep Respect for you Adversaries.
Para Practicarlo se Requiere:
Ser Modesto en la Victoria.
Mantener la Serenidad en la Derrota.
Reconocer los Meritos y la Virtudes en los Demas.
Respetar y Acatar las Decisiones de los Arbitros.
Aceptar que los Arbitros Pueden Equivocarse
Porque son Humanos.
Animar a su Equipo sin Ofender al Contrario.
Respetar el Sentimiento del Hincha.
Cumplir Estrictamente las Normas y Reglas del Futbol.
Dar la Mano en el triunfo o en la Derrota.
Mantener un Profundo Respeto por el Adversario.
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NATIONAL FÚTBOL ASSOCIATION IN THE US