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: ____________________________________________________


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