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2025 ARSC Activity Waiver

To ensure the safety of all participants, a completed Liability Waiver and Medical Release Form is required for every child attending ARSC soccer activities. This form must be signed by a parent or legal guardian prior to participation. 

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If your child is participating in multiple activities, only one waiver is required. Children will not be allowed on the field until the form is submitted.

 

Thank you for helping us keep your athlete safe and everything running smoothly!

Participant Date of Birth:
Month
Day
Year

Photo & Media Release

I give permission for photographs or video of my child to be taken during evaluations and used for promotional or educational purposes by Ashley River Soccer Club.

Photo Release:
Yes
No

Parent/Guardian Acknowledgment of Risk & Medical Consent

I, the undersigned parent or legal guardian of the above-named participant, hereby give permission for my child to participate in the Ashley River Soccer Club Evaluations. I acknowledge that participation in athletic activities involves risk of injury. In consideration of my child’s participation, I voluntarily assume all risks and hazards associated with this camp, including those incidental to travel and participation.

In the event of injury or illness, I authorize Ashley River Soccer Club, its staff, coaches, volunteers, or representatives to act on my behalf to secure emergency medical treatment, including transportation and hospitalization, if necessary. I understand that every effort will be made to contact me prior to such action. I accept responsibility for any and all costs related to such medical treatment.


Release of Liability

I hereby release, waive, and hold harmless Ashley River Soccer Club, its directors, employees, coaches, volunteers, affiliates, and representatives from any and all claims, liabilities, demands, or causes of action arising out of or in connection with my child’s participation in the soccer evaluations, including but not limited to personal injury, illness, property damage, or loss.


Concussion Policy

As the parent or legal guardian of a youth athlete participating in the Ashley River Soccer Club Evaluations, I acknowledge and understand the importance of recognizing and properly responding to concussions and head injuries in youth sports.


I hereby confirm that:

  1. I have read and understand the Ashley River Soccer Club Concussion Policy (linked below), including the procedures for removing a player from play and the required return-to-play protocol following a suspected concussion.

  2. I have reviewed the U.S. Soccer Federation’s Concussion Fact Sheet for parents (linked below), which outlines the signs, symptoms, and potential long-term effects of concussions.

  3. I understand that it is my responsibility to seek medical attention for my child if a concussion is suspected and to follow the appropriate steps before allowing them to return to play.


Ashley River Concussion Policy

Concussion Fact Sheet

Acknowledgment & Signature

By signing below, I acknowledge that I have read and agree to the terms set forth in the Photo & Media Release, Parent/Guardian Acknowledgement of Risk & Medical Consent, Release of Liability, and Concussion Policy sections of this document. I am aware that by signing this document, I am waiving certain legal rights that I or my child may have.

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