Diamante Soccer Academy

Diamante Soccer Academy Intake

ATHLETE INFORMATION

If you have more than one athlete, please fill out a seperate form and use unique emails for each.
MM/DD/YYYY
If in college, please write the college name and year. If out of school write, N/A.
Needed to receive coach's weekly newsletter (prep work/additional training).
Number coaches can use for feedback, questions, and practice cancelations.

ATHLETE GAME HISTORY

(ex. I wish to play for fun, recreational, club, college, professional, etc.)

EMERGENCY INFORMATION

Write none if not available
Write none if not available
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, and/or athlete of 18+ years, 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 am giving permission to Diamante Soccer Academy LLC (DSA). and Diamante Goalkeeper Academy (DGK) for the named athlete to be photographed, or video recorded while attending any area of our program. regular training, private/group training, camps. social events, an/but not limited to Lancaster Keeper Wars I hereby release DSA and DGK and its legal representatives for all claims and liability relating to said image or video. FOR USE IN MARKETING, WEBSITE, SOCIAL MEDIA, AND POSSIBLE FUTURE RECRUITMENT. I WAIVE MY RIGHT TO ANY COMPENSATION.
BY ENTERING MY NAME ABOVE I AM ACKNOWLEDGING AND AGREEING THAT I HAVE READ AND ACCEPT DIAMANTE SOCCER ACADEMY LLC 'S TERMS AND CONDITIONS AND THAT EVERYTHING FOUND IN THIS INTAKE AND CONTRACT IS CORRECT AND TRUE TO THE BEST OF MY KNOWLEDGE.