Soccer Academy P&V FORM

SOCCER ACADEMY P&V

PERSONAL INFORMATION: Participant

Name:

Age

Date of Birth

Sex

Address

Uniform Size:

MEDICAL RECORD: Participant

Does the child have a physical disability or illness?

Is the child allergic to any medication and/or food?

Does the child take some type of medication?

PARENTS

Father's name

Phones: Cell:

Home Address:

Mother's name

Phones: Cell:

Home Address: (if different from father)

PEOPLE AUTHORIZED TO PICK UP THE PARTICIPANT: (Place name and last name)

(No participant could be withdrawn if the person is not authorized in this form)

Credit Card Authorization

Type of Credit Card:

Security Code

Name as it appears on the card:

Credit Card Number:

Expiration Date:

Phone Number of Cardholder

Billing Address of Cardholder

I authorize that the debit be made according to the program.

Date

INTERNAL REGULATIONS OF THE ACADEMY

REGULATION

The Pv Soccer academy main objective is to ensure that students have fun and learn the sports discipline in harmony, promoting good values and respecting all the members of the Academy: colleagues, coaches, directors, friends and supporters.

The academic season begins every SEPTEMBER of each year, being operational every month except for SPRING BREAK, national holidays, and previously notified December days.

GENERAL PROVISIONS

PV SOCCER ACADEMY

The purpose of these Internal Regulations is to regulate the organization and operation of the Pv soccer academy is responsible for the following basic responsibilities:

1.The technical and tactical training, as well as the sporting character, of all the members of the teams.

2.The management and monitoring the teams in all categories according to their ages.

3.Maintain the sport prestige of the Academy in each category and competition in which it
participates.

STUDENTS

1.Attend on time the training, civic and sporting events to which it is convened by the Academy.

2.Present yourself with the necessary sports equipment for the practice of the sport: full official uniform, football shoes, shin guards. The use of the uniform is mandatory in all training and matches convened by the Academy.

3.Respect the internal regulations of not eating food in the area of field, it is totally forbidden
to chewing gum / CHEWING GUM within the sports venue.

4.Maintain impeccable conduct on and off the training ground, as well in all matches outside
the venue, respecting the rules of the game, referees, rivals and the general public.

5.Respectfully assume the instructions of the coaches.

6.Always use respectful language, avoid fights and confrontations between classmates and /
or players from other schools.

7.Notify the coach in a timely manner of the absence from a training and/ or matches explaining
the reasons.

OF PARENTS AND REPRESENTATIVES

The parents play a decisive role the correct functioning of the Academy, their collaboration and respect for this regulation will be a reflection of our institution and each of its members.

1. Take their representatives punctually to the training, civic and sporting events scheduled by the Academy.

2.Comply with the rules of access, use and permanence in the Soccerland fields

3.Parents and family members should always show an exemplary attitude during matches,
supporting and encouraging our team.

4.In order not to distract the concentration of the students and their opponents, parents and
relatives must be located in the area arranged.

5.Parents must accept the decisions made by the coaches or coordinators regarding the groups of children which will be divided based on the ages and level of functioning of each one,

taking into account the evaluation criteria of the coaches.

6.Avoid technical-tactical comments during training.

7.Accept the use of some pictures of your child taken during class, to be use on social media
and others place to share information of the academy.

PAYMENT OF FEES

1.Registration will be charged annually, according to the month that the student starts, with September being the beginning of each season.

2.Those students who are absent for more than two months from the academy, you must pay their registration again to be able to join the classes.

3. Payments must be made by automatic debit, leaving the authorization signed at the time of registration, the collection will be made the first 5 days of each month, delays after day 5 will have a surcharge of $ 50.

4.There is no monthly apportioning under any circumstances. THERE ARE NO EXCEPTIONS.

5.No refunds will be made under any circumstances.

6.In case of delay of the monthly payment, the student will not be able to enter classes, until he is solvent with the payment.

7.Monthly fees will be charged in full regardless of the number of classes the child attends.
This will not be a reason to generate any kind of dispute, or return of money.

8.Every representative will have the obligation to pay the fees established on the scheduled
date for tournaments where the student is summoned by his coach.

9.In case of the withdrawal of the student, it must be notified before the 1st of each month, by means of a letter, which must be delivered only to the directors of the academy in the
Soccerland facilities.

Signature of Card Holder

Sign Here

Date

RELEASE AND WAIVER OF LIABILITY - P&V SOCCER ACADEMY

PV INTERNATIONAL SPORT KIDS, RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY

NAME OF PARENT

Date / Time

NAME OF PARTICIPANT

DATE OF BIRTH

NOTICE TO THE MINOR CHILD’S / NATURAL GUARDIAN

READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF PV INTERNATIONAL SPORT KIDS. USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM DORAL SOCCERLAND LLC. IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND DORAL SOCCERLAND LLC. HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

IN CONSIDERATION of being permitted to participate in any way in Doral Soccerland program activity (“Activity” Activities include, but are not limited to: Camps, birthday parties, rentals, leagues and special events.) I, for myself for personal representatives, assigns, heirs, and next of kin:

1. ACKNOWLEDGE, agree, and represent that I understand the nature of Doral Soccerland LLC. program Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.

2. FULLY UNDERSTAND THAT: (a) Doral Soccerland program ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("RISKS"); (b) these Risks and dangers may be caused by my own actions or inaction’s, the actions
or inaction’s of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISK AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.

3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Doral Soccerland LLC, their respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owner and lessors of premises on which the Activity
takes place, (each considered one of the "RELEASES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releases, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

SIGNATURE OF PARENT

Phone:

Address:

City:

State:

Zip:

Email: