Insurance Disclaimer and Medical Release: I/We the parents/guardians of the child named on this form, who is a candidate for a position on a team in the Kosciusko County Soccer League, hereby give my/our approval for my/our child’s participation in any and all KCSL activities. I/We assume all risks and hazards incidental to such participation including transportation to and from the activities; and I/We do hereby waive, release, absolve, indemnify and agree to hold harmless the Kosciusko County Soccer League, CCAC, organizers, directors and/or officers of the executive committee, advisory board, sponsors, supervisors, participants and persons transporting my/our child to and from activities, from any claim arising from any injury to my child.
I hereby give the Kosciusko County Soccer League and it's representatives permission to seek and provide emergency medical attention for the child named on this form should it become necessary due to his/her participation in the league.
Code of Conduct: My player and I agree to abide by the KCSL Code of Conduct and Parent-Player Commitment which is available to me to download on this site and at the CCAC during the season.
Online payments are processed through PayPal
You do not need a PayPal account in order to pay with a credit card.