The Nebula Soccer School
Paperwork

Please fill out the following forms with the corresponding information below. Each player will need to fill out all the paperwork one time.

Nebula Paperwork

First Name

Parent First

DOB

Last Name

Phone

Parents Last

Do you have a doctor’s permisson to participate in intense physical activities?

Yes

Please specify anything we should know about

I declare that the info I’ve provided above is accurate & complete

Consent and Liability Waiver Release

I affirm that I am entering a course of instruction in soccer training. I certify that I am cognizant of all of the inherent dangers of physical fitness and soccer activity, and the basic safety rules for activities connected herewith. In consideration of being allowed to enroll in this training I hereby personally assume all risks connected with the training, and I further release Keegan Chapman for any injury or damage which may be incurred by me while I am enrolled in the soccer training course, including all risks connected therewith, whether foreseen or unforeseen; and further to save and hold harmless The Nebula Soccer School and Keegan Chapman from any claim by me, or my family, estate, heirs, or assignees, arising out of my enrollment and participation I this course. Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before using any exercise equipment or participating in any soccer activity. You agree that by participating in physical exercise or soccer activities, you do so entirely at your own risk. You agree that you are voluntarily participating in these activities and use of the equipment and assume all risks of injury, illness, or death. I have fully informed myself of the contents of this aforementioned and release by reading it before I sign it, and am physically fit as tested by a medical examination. We are not responsible for any loss of your personal property. You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge Keegan Chapman from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have to bring a legal action against Keegan Chapman and The Nebula Soccer School for personal injury or property damage. By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from. I further state that I am of lawful age and legally competent to sign this aforementioned release; that I understand that the terms herein is contractual and not a mere recital; and that I have signed this document as my own free act.

Photo, Audio, and Video Promotion Release Form

The Nebula Soccer School may take and use photographs, videos, or excerpts of statements of me and/or my child to be used for public promotional purposes, such publications, internet sites, displays, news releases, podcasts, blogs, video presentations, and advertisements with the understanding that my image will be used to promote The Nebula Soccer School only. I do this willingly, expecting no compensation, commission, or gratuity of any kind from The Nebula Soccer School.

Cancellation and Refund Policy

All cancellations must be received at least 6 hours before your training session in order to avoid being charged for your session. Clients who do not cancel with 6 hours notice will be charged for the cancelled session. We understand that emergencies happen and will accommodate. If you need to cancel a session, please contact us immediately! The Nebula Soccer School strives to provide the best possible service to our clients. Once a package is purchased, no refunds will be given unless agreed upon by Keegan Chapman. Examples of refunds given may include, health related issues or moving out of the area.

Your Signature

Thanks for submitting!