CLUB REGISTRATION CONFIRMATION
- Club name : Cincinnati Hornets SC
- City : Cincinnati
- State : Ohio
I hereby consent to the above named club registering me with US Club Soccer or one of the state soccer organizations OSYSA, US Youth Soccer. I understand that I may be registered to only one Club Soccer member club at any time. Depend on the affiliated organizations. I Understand that some organizations require additional registration forms (check our forms page)
[Note: you do not need to fill this form again if you still registered with our club .]
I hereby give my consent to have a team manager, coach, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify the Cincinnati Hornets SC soccer club, their sponsors, the USSF,US Youth Soccer and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above as a result of that player participation in the Cincinnati Hornets SC soccer club, programs and/or being transported to or from the same, which transportation I hereby authorize.