PREMIER SOCCER ACADEMY REGISTRATION

Welcome to registration

PREMIER SOCCER ACADEMY of CANADA

"For players who take the beautiful game seriously!"

Parent / Legal Guardian's Name *
Parent / Legal Guardian's Name
Home Address
Home Address
Home Phone
Home Phone
Mobile Phone
Mobile Phone
I am interested in: *
(please check at least one)
Players FULL name
Players FULL name
Birthdate
Birthdate
I ACCEPT *

NOTE: I accept button AND a typing of "I Accept" inside the waiver agreement line must be completed before continuing. 

PARTICIPANT AGREEMENT

By signing below, you agree to all of the following terms and conditions pursuant to which Premiere Soccer Academy LTD shall provide. By execution of this Participant Agreement, you are acknowledging limiting terms and conditions waiving certain rights at law that otherwise might be available to you.

Reservations:
A completed payment fee per participant, depending on the program chosen (except when otherwise noted in writing by us) and a completed Reservation Form ("Reservation Form") are required with this Participant Agreement to reserve space for Premiere Soccer Academy LTD. All prices are in Canadian Dollars. (with confirmation of receipt thereof from us), and you shall be subject to the following cancellation fee schedule: If we receive a written notice prior 21 days of the next training term starting date, the organization will retain $75.00 as a compensation for the registration expenses. If we receive a written notice between 21 - 15 days of the next training term starting date, the academy will retain 50% of the payment fee paid. If we receive a written notice of cancelation within 7 days of the next training term starting date, there will be no refunds of the amount paid for the Premiere Soccer Academy LTD training term. If the participant simply does not show up to the training, there will be no refunds for the amount paid.

Cancellation or Substitution:
We may cancel any Premiere Soccer Academy LTD training at any time for any reason, including without limitation if we deem the number of participants signed up for a given Premiere Soccer Academy LTD training day to be insufficient to operate the Academy to our standards. We will make reasonable efforts to keep the schedule as it has been published; however, the final schedule may vary due to factors beyond our control. We may in our sole discretion substitute services or goods of similar quality for any service or good stated in the schedule. If the Premiere Soccer Academy LTD training day is cancelled, our liability is limited to a full refund of your deposits and Premiere Soccer Academy LTD, and we will not be liable for any other costs, damages, or refunds of any kind for any loss, delay, inconvenience, disappointment, or expense whatsoever in such circumstances. If for reasons beyond our control, a Premiere Soccer Academy training day that is in progress must be interrupted or cancelled, we will in good faith consider refunding a portion of the Premiere Soccer Academy LTD training day depending on our actual costs incurred compared to the Premiere Soccer Academy LTD as originally contemplated.

Certification of Participants Health and Responsibility to Inform Operator of Disabilities or Pregnancy:
By signing below and/or tendering any portion of the Premiere Soccer Academy LTD, I certify that the participant does not have any condition or disability that would create a hazard for you or others participating in the Premiere Soccer Academy LTD Activities (as hereinafter defined). I agree to inform you via certified mail or e-mail sent to agnew.shawn@gmail.com at the time I tender my first payment of the Premiere Soccer Academy LTD Fee (or at such later time when I become aware of such a condition) of any existing physical or mental illness, disability, pregnancy or any other condition for which the participant may require medical attention or special accommodation during the Premiere Soccer Academy LTD training term. We make no guarantee to be able to accommodate the participant for such condition during the Premiere Soccer Academy LTD, and we make no representations or warranties regarding special accommodations or handicap accessibility at the Premiere Soccer Academy LTD.

Athletics Release:
I hereby acknowledge that playing or practicing soccer is a potentially hazardous activity. I agree that the participant is voluntarily entering and assuming all risks associated with participating in those activities, including but not limited to falls, contacts with other participants, the effects of weather including heat and or humidity, and the conditions of the training grounds and facilities, all risks being understood and appreciated by me. Having read this waiver, and knowing these facts, and in consideration of the acceptance of this application, I hereby waive and release Premiere Soccer Academy of Canada and its officers, directors, agents, contractors, employees, instructors, trainers, volunteers, members, representatives and all affiliated and related companies from all claims and liabilities of any kind arising out of the participants involvement in soccer playing, practicing, or training, while registered as a participant and participating in any and all Premiere Soccer Academy training sanctioned activities, events, practice sessions or social activities at any location (notwithstanding the location where the participant originally registered) (all hereafter collectively referred to as "Premiere Soccer Academy LTD Activities"), including injury, loss or damage which might be caused by the negligence of Premiere Soccer Academy LTD.
The participant acknowledges that he/she is aware of the possible risks, dangers and hazards associated with participation in Premiere Soccer Academy LTD activities, including all manner of injuries resulting in muscular injuries and soft tissue injuries including bruises, scrapes, cuts, etc., from executing strenuous and demanding physical techniques, collisions with the wall, floor, ground contact with other participants or equipment used by other participants (including ropes, weights and pads) and failure in proper use of the equipment or techniques either by the participant or other participants; and the possible risk of severe or fatal injury to the participant or others.
The participant acknowledges that the participant’s risk of injury increases as the participant becomes fatigued.
The participant further acknowledges that such risks may be caused by the participants own actions or inactions, the action or inactions of others participating in the Premiere Soccer Academy LTD activities, the condition in which the Premiere Soccer Academy LTD activities take place, or the negligence of Premiere Soccer Academy LTD.
The participant acknowledges that there may be other risks and social and economic losses either not known to the participant or not reasonably foreseeable at this time.

General Release:
In consideration of Premiere Soccer Academy LTD allowing the participant or the undersigned minor child membership and participation in the Premiere Soccer Academy activities, The undersigned agrees: (i) to waive any and all claims that the undersigned or the participant has or may have in the future against Premiere Soccer Academy, its officers, directors, agents, contractors, employees, instructors, trainers, volunteers, members and representatives as a result of the undersigned or the undersigneds minor child’s membership and/or participation in the Premiere Soccer Academy LTD activities; (ii) to release, hold harmless and indemnify Premiere Soccer Academy LTD from any and all liability from any loss, damage, injury or expense that the participant may suffer, or that the participants next of kin may suffer as a result of the participants membership and/or participation in the Premiere Soccer Academy LTD activities due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, including any duty of care owed under the Occupiers Liability Act (British Columbia), on the part of the Premiere Soccer Academy; and (iii) to release, indemnify and hold harmless any affiliated Premiere Soccer Academy LTD company, partnership or other person affiliated with Premiere Soccer Academy LTD including those persons which own property used for any Premiere Soccer Academy LTD activities (collectively, a "Related Third Party"), and each of their respective directors, officers, agents, contractors, employees, instructors, trainers, volunteers, members and representatives from any and all claims, demands, actions and costs which might arise out of the participants membership and/or participation in the Premiere Soccer Academy LTD activities, even though such claims, demands, actions and costs may have been caused by the negligence of such Related Third Party .

Travel Release:
I acknowledge that certain Premiere Soccer Academy LTD activities may take place at a location or locations other than Premiere Soccer Academy LTD premises.
I further acknowledge that: (i) during outdoor trips to other locations, extreme changes in weather or temperatures may result in heatstroke, sunstroke, or hypothermia and where applicable remoteness of location can result in poor communications and inability to get rescue or medical assistance quickly or easily; (ii) in an unfamiliar location, the participant may become lost, get off course or be separated from the rest of the party; (iii) steep or other dangerous terrain may exist where a fall or other accident may cause injury or death; (iv) risks, injuries and/or death that may result from transportation (all modes or types including but not limited to public or private motor vehicle) incidents/accidents; and (v) Premiere Soccer Academy LTD shall not be responsible for any damages or injury caused by or related to the participation of the undersigned or the undersigned’s minor child (children) in any Premiere Soccer Academy LTD activity at such location.
If a parent(s) of a minor child (children) has any concerns about transportation to or from an off-site location or any off-site Premiere Soccer Academy LTD activity, such parent shall be permitted to accompany such child (children).

No Representation re: Medical Qualifications:
I confirm that I have been advised that Premiere Soccer Academy LTD does not represent that Premiere Soccer Academy LTD or any employees or contractors have any level of medical training that would provide assistance to an injured person.
Moreover, Premiere Soccer Academy LTD does not maintain medical equipment or apparatus (including but not limited to defibrillators or Epi-pens) which could assist an injured or ill person.
In the event that Premiere Soccer Academy LTD is provided with any medical apparatus by or on behalf of a participant in Premiere Soccer Academy LTD, Premiere Soccer Academy LTD makes no representation or warranty that any Premiere Soccer Academy LTD personnel have the skill or training to operate such medical apparatus appropriately to assist any person or to prevent further injury.
I acknowledge that I am solely responsible to select and purchase adequate medical/health and travel insurance.
No medical/health or travel insurance will be provided by Premiere Soccer Academy LTD.
In the event of a medical/health or travel related problem, Premiere Soccer Academy LTD accepts no responsibility for any costs or damages associated with a medical/health or travel related problem nor will Premiere Soccer Academy LTD pay for any medical/health or travel related expenses, which may be incurred by my participation in the Premiere Soccer Academy LTD activities.

Photography/Video for Media & Marketing Release:
I hereby authorize Premiere Soccer Academy to allow the reproduction, dissemination, and/or publication of my name and/or likeness (or those of my minor child) for media coverage, public relations, advertising, marketing or any other Premiere Soccer Academy promotional or educational purposes. As well, by indicating your acceptance you understand and agree that the Premiere Soccer Academy of Canada may take photographic or video images of the above named registrant. You further grant Premiere Soccer Academy of Canada the right to use my personal data for commercial advertisement, marketing, and other communications.
This may be done in conjunction with my participation in any Premiere Soccer Academy activities and I understand and agree that I may neither pay a fee to receive individual promotional consideration from my participation in the Premiere Soccer Academy activities, nor will I receive any payment for the possible commercial use of my name or likeness.

Responsibility/Liabilities:
Premiere Soccer Academy LTD assume no responsibility for any personal injury, property damage, or other loss, accident, delay, inconvenience, or irregularity which may be occasioned either by reason (1) any act or omission of any of the Suppliers (2) any matter beyond our exclusive control including but not limited to a delay or cancellation of a flight that causes you to miss any portion of the Premiere Soccer Academy training. We have no special knowledge regarding the financial condition of the unsafe conditions, health hazards, weather hazards, or climate extremes at the soccer training locations. You are also responsible for respecting the authority and following the directions of the Premiere Soccer Academy LTD guide during a Premiere Soccer Academy LTD Training sessions. We may exclude you from participating in all or any part of the Premiere Soccer Academy training sessions if, in our sole discretion, your condition or behavior renders you unfit for the Premiere Soccer Academy LTD or unfit for continuation once the Premiere Soccer Academy LTD training has begun. Unfitness may include, without limitation, any behavior that regardless of its cause, is inappropriate or offensive or interferes with the delivery of Premiere Soccer Academy LTD services, or may constitute a hazard or embarrassment. In such case, our liability shall be strictly limited to a refund of the recoverable cost of any unused portion of the Premiere Soccer Academy LTD training term. Should you decide not to participate in certain parts of the Premiere Soccer Academy LTD training, no refunds will be made for those unused parts of the Premiere Soccer Academy LTD training. You agree to indemnify and hold us harmless from and against any costs, damages, losses, or liabilities arising out of your actions or omissions.

General:
Any dispute related to the Premiere Soccer Academy LTD training shall be governed by British Columbia law without regard to conflict of laws principles. The federal or provincial courts in British Columbia shall be the exclusive forum for any lawsuit related to the Premiere Soccer Academy LTD, and you consent to the personal jurisdiction by said courts. You agree to present any claims against us within 30 days after the Premiere Soccer Academy LTD training term within the year ends and to file within one year of the incident, and you acknowledge that this expressly limits the applicable statute of limitations to one year. Facsimile transmission or electronic transmission (such as pdf) of any signed document shall be deemed delivery of an original. At our request, you shall promptly provide an original document as well. If there are any conflicts between this Participant Agreement, the Reservation Form, and the Itinerary, this Participant Agreement shall govern.

Privacy Policy:
In accordance with the Personal Information Protection and Electronic Documents Act (Canada), Premiere Soccer Academy LTD has adopted a Privacy Policy dealing with the personal information collected by Premiere Soccer Academy LTD from its customers, clients and employees.

Special Provisions for Parents or Guardians of Participants
I, the undersigned, as parent or guardian, give my consent for the participant, identified herein, to participate in soccer activities during the Premiere Soccer Academy training program. I understand that participation in any soccer event is done at our own risk. I will not hold Premiere Soccer Academy LTD its officers, agents, employees, or anyone acting in its behalf, responsible or liable for injury occurring to the named participant in the course of such activities or such travel.

I hereby accept financial responsibility for personal items lost by the participant identified herein.

I authorize Premiere Soccer Academy LTD to transport and to obtain, through a physician of its own choice, any emergency medical care that may become reasonably necessary for the participant in the course of such activities/events or such travel. I also agree that the expenses for such transportation and treatment shall not be borne by Premiere Soccer Academy LTD, and I accept full responsibility and hereby grant permission for the participant to travel on any camp-related trip by bus or van.

Illegal Substances:
Notice is hereby given that possession or sale of controlled substances by any participant is grounds for expulsion of the program. Participant possession of or being under the influence of alcoholic beverages, and/or hallucinogenic drugs or combinations of drugs or substances having hallucinatory effects, marijuana, or under the influence of glue or other drugs or combinations of drugs or drug paraphernalia expressly prohibited by federal, provincial, or local laws, including prohibited substances which shall include those substances possessed, sold, and/or used that are held out to be, or represented to be, controlled substances, illegal substances, or counterfeit in any respect illegal or controlled substances is grounds for expulsion from the remaining of the soccer program and referral to proper law enforcement agencies. Parent(s) or Guardian(s) will be immediately notified to pick up the participant. In none of the foregoing cases, shall the fee paid for the program be reimbursed, in whole or in part.
Further notice is hereby given that possession of prescription drugs, or any other over-the counter medication, not specifically ordered for the participant by a physician or the participant’s parent or guardian is grounds for expulsion from the remaining of the soccer program. Parent(s) or Guardian(s) will be immediately notified to pick up the participant. The fee paid for the academy training program will not be reimbursed, in whole or in part.

By indicating your acceptance you understand and agree that the Premiere Soccer Academy LTD may take photographic or video images of the above named registrant. You further grant Premiere Soccer Academy LTD the right to use my personal data for commercial and other communications.


I, as parent or guardian, accept this agreement: by on the "I ACCEPT" button back on the sign-up registration form AND type I Accept inside the box before continuing.