Diamante Soccer Academy

Lancaster Goalkeeper Wars Waiver and Release Form


If you have more than one athlete, please fill out a seperate form and use unique emails for each.
Choose all that apply
Write none if not available
Write none if not available


*If U18 (Parent or Guardian Information)
Number coaches can use for feedback, questions, and practice cancelations.

Second Parent/Guardian (Optional)



Please read the following statements, if you have read and accepted all the terms and conditions of Diamante Soccer Academy LLC's Lancaster Goalkeeper Wars, check "YES" and sign below.
I, the minor's parent and/or legal guardian, understand the nature of soccer activities and the minor's experience and capabilities and believe the minor to be qualified, in good heath, and in proper physical condition to participate in such activity. I hereby release, discharge covenant not to sue, and gree to indemnify and save and hold harmless each of the realasee's from all liability claims, demand, losses, or damages or th
PERMISSION IS HEREBY GRANTED TO DIAMANTE SOCCER ACADEMY LLC., and its affiliates including Trainers, Directors, Coaches, and Team Parents to who have the proper training to provide the needed emergency treatment before the athelete's admission to the medical facility.
I, Parent/Guardian, hereby authorize in my absence or unconsciousness the diagnosis and treatment by a qualified and licensed medical professional, of the athlete, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the athlete's life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
I, Parent/Guardian of said athlete, grant permission to Diamante Soccer Academy LLC (DSA). Diamante Goalkeeper Academy (DGK), and Lancaster Goalkeeper Wars (LGW) and its agents and emplyeees the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me, or members of my family, for the purpose of publication, promotion, illustration, advertising, recruitment, website, social media, and other forms of marketing and in any medium. I hereby release DSA, DGK, and LGW and its legal representatives for all claims and liability relating to said image or video. I waive my right to any compensation.

Questions can be directed to Coach Josue Bosque at DGKSoccerAcademy@gmail.com.