Private Practice Field Release Form
BASC Practice Field Release Form
(for practice fields not contracted/maintained by BASC)
The undersigned property owner hereby:
⚽️ acknowledges that an agreement for use of the property listed below for soccer related activities has been agreed upon exclusively with the individual coach listed, the team’s registered players and the parents thereof
⚽️acknowledges that the Broken Arrow Soccer Club (BASC) is not a party to said agreement
⚽️ acknowledges that the BASC in no way promises any compensation or services in exchange for said use
⚽️ releases the BASC from any and all personal and/or property damage liability with regard to said agreement and use.
Property Description __________________________________________________________ __________________________________________________________ __________________________________________________________
Property Owner
Name: ____________________________________________________
Address: __________________________________________________
City: ___________________ State: ________ Zip: ____________
Signature: ________________________________ Date: ___________
Coach/Team Info
Coach Name: ______________________________________________
Team: ____________________________________________________