Vocations Soccer Cup Altar Server Player Registration Form

PARTICIPANT INFORMATION

Requirements to Play in the St. Carlo Acutis (for boys) & St. Maria Goretti Cup (for girls):

- Altar Servers, boys and girls, must be between the ages of 13 and 17 years old.
- $50 Fee Payment
- Safe Environment Training

Player's Name*

First Last

Players Age*

Please select

Boy
Girl

Date of Birth*

Address*

Street Address City ZIP Code

Participant's Cell Phone*

Participant's Email*

Parish/School where you serve as an altar server*

Player's Jersey Size*

Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large

Please Note: a fee of $50 is needed to cover for players’ jersey, shorts, and long socks.
Every player must bring its own shin guards and soccer cleats (turf shoes). After registration, please make your payment using the button in the homepage or send your check as follows:
Pay to the Order of: Diocese of San Jose
Memo: Voc. SC Player’s Fee
Mail your check to:
Diocese of San Jose
Att. Vocations Office
1150 N. First St. Suite 100
San Jose, CA 95112
Fee Payment must be received by July 19.

SAFE ENVIRONMENT

Safe Environment Training and Fingerprinting

Safe Environment Training completed
I need to complete Safe Environment Training

If the player has not completed training, please read training info below. Completion of the training will be verified by July 19 to participate. .

Youth Players need to complete or renew (renewal every 3 years) the Safe Environment Training on the website of VIRTUS Online Training and take the course titled Healthy Relationships For Teens 2.0. Course must be completed by July 19.
For VIRTUS Registration Instructions CLICK HERE.
For the VIRTUS website to complete the course visit: https://www.virtusonline.org/virtus/

PARENTAL CONSENT

Parent/Guardian Name

First Last

Parent/Guardian relationship to the minor

Parent Consent

I the parent/guardian give consent and release for my child to participate this event.

Parent/Guardian Cell Phone

Parent/Guardian Email

As a parent/guardian, type your name below as your electronic signature for your consent for your minor to participate.

PHOTO/VIDEO RELEASE

Photo/Video Release Consent*

I give consent to the Photo/Video Release. I grant the Diocese of San Jose, its directors, officers, employees, agents, and designees (collectively “DSJ”) non-revocable permission to capture my/my child’s image and likeness in photographs, videotapes, motion pictures, recordings, or any other media (collectively “Images”). I acknowledge that DSJ will own such Images and further grant the DSJ permission to copyright, display, publish, distribute, use, modify, print and reprint such Images in any manner whatsoever related to DSJ business, including without limitation, publications, advertisements, brochures, web site images, or other electronic displays and transmissions thereof. I further waive any right to inspect or approve the use of the Image by the DSJ prior to its use. I forever release and hold the DSJ harmless from any and all liability arising out of the use of the Images in any manner or media what so ever, and waive any and all claims and causes of action relating to use of the Images, including without limitation, claims for invasion of privacy rights or publicity. No compensation to be given.

PARTICIPATION ACTIVITY WAIVER

TO THE EXTENT PERMITTED BY LAW, I HOLD THE PARISH/SCHOOL AND DIOCESE OF SAN JOSE HARMLESS FROM ANY CLAIM OF INJURY, SICKNESS, ILLNESS OR DAMAGE THAT I/MY CHILD MAY SUFFER OR SUSTAIN DURING THE ACTIVITY LISTED ABOVE, WITH EXCEPTION TO INJURY OF DAMAGES ARISING OUT OF THE SOLE NEGLIGENCE OF THE PARISH/SCHOOL OR DIOCESE OF SAN JOSE. I ATTEST THAT I AM/MY CHILD IS PHYSICALLY FIT TO PARTICIPATE IN THIS EVENT. IN THE EVENT THAT I/MY CHILD BECOME(S) ILL OR INJURED, I DO HEREBY CONSENT TO WHATEVER MEDICAL TREATMENT(S), INCLUDING BUT NOT LIMITED TO X-RAY, EXAMINATION, OR HOSPITAL CARE, CONSIDERED NECESSARY IN THE BEST JUDGEMENT OF THE ATTENDING PHYSICIAN AND PERFORMED BY OR UNDER THE SUPERVISION OF A MEMBER OF THE MEDICAL STAFF OF THE HOSPITAL AND/OR OTHER MEDICAL FACILITY PROVIDING THE TREATMENT. I AM NOT AWARE OF ANY MEDICAL CONDITION WHICH WOULD RENDER IT INAPPROPRIATE FOR MY CHILD TO PARTICIPATE IN ANY ACTIVITY ASSOCIATED WITH THIS EVENT. I/my child hereby release and agree to hold PARISH/SCHOOL AND DIOCESE OF SAN JOSE harmless from, and waive on behalf of myself/my child, my heirs, and any personal representatives, any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself/my child and/or property that may be caused by any act, or failure to act of the PARISH/SCHOOL AND DIOCESE OF SAN JOSE, or that may otherwise arise in any way in connection with any Participant services I/my child provide(s) to the PARISH/SCHOOL AND DIOCESE OF SAN JOSE. I/my child understand that this release discharges the PARISH/SCHOOL AND DIOCESE OF SAN JOSE from any liability or claim that I/my child, my heirs, or any personal representatives may have against the parish with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any Participant services provided to the PARISH/SCHOOL AND DIOCESE OF SAN JOSE. This liability waiver and release extends to the PARISH/SCHOOL AND DIOCESE OF SAN JOSE together with its clergy, staff, and other Participants.
Behavior and Participation Clause: I/my child agree(s) to adhere to all safety guidelines and regulations stipulated by the event’s organizers. This includes but is not limited to: engaging in friendly and safe play; exhibit and maintaining an honorable and respectful conduct towards – and among – all players, participants, staff, and members of the public present at the event. I/my child understand(s) that, should I/he/she exhibit disrespectful or violent behavior, or fail to adhere to the event’s regulations and/or the organizers’ guidelines, my/my child’s participation may be revoked, and I/my child may be required to leave the event.
Furthermore, in the event of violent behaviors or physical aggression, the appropriate authorities will be notified, and charges may be filed.

Activity General Liability Waiver*

I have read and consent to the waiver as written above for this year's Soccer Cup event

MEDICAL INFORMATION

Player’s Medical Plan Information: Please provide the following information:

1. Medical Plan Name and address*

Medical Plan Policy Number*

Medical Plan Phone*

EMERGENCY CONTACT INFORMATION

Emergency Contact(1) Name*

First Last

Emergency Contact(1) Phone*

Emergency Contact(2) Name*

First Last

Emergency Contact(2) Phone*

Parent/Guardian: Type your name below as your electronic signature for your consent and participation activity waiver and photo/video release*

Date of your consent and waiver.*