Fill and Sign the Waiver and Release by Parent of Minor Child from Liability and Personal Injury for Soccer Training in Favor of Soccer 497328869 Form

Waiver and Release by Parent of Minor Child from Liability for Soccer Training in favor of Soccer Organization and Instructors The undersigned __________________________ of ________________________ __________________________ (street address, city, county, state, zip code) , on behalf of my child, __________________________ (hereinafter referred to as Child ) does hereby waive and release, indemnify, hold harmless and forever discharge __________________________________ (Name of Primary Soccer Instructor) of ____________________________________________________ street address, city, county, state, zip code) , and __________________________ , Inc., a not for profit corporation organized and existing under the laws of the state of ______________, with its principal office located at _________________________________________ (street address, city, county, state, zip code) , including its agents, employees, officers, directors, affiliates, volunteers, successors and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I or Child ever had or may have, arising from or in any way related to Child’s participation in any of the training, camps, or related soccer or physical activities, conducted by, on the premises of, or for the benefit of, __________________________ , Inc , provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct. ______________________________ (Name of Primary Soccer Instructor) and __________________________ , Inc., its agents, employees, officers, directors, affiliates, successors and assigns are hereby jointly and severally referred to herein as Released Parties. This waiver and release includes (but is not limited to) any injuries to Child resulting from Child’s participation in any of the training, camps, or related soccer or physical activities conducted by Released Parties as well as injuries resulting from engaging in fitness or strength and endurance workouts, practicing and/or engaging in soccer round robins, tournaments, house leagues or other related activities . I understand that the activities that said Child will participate in can be dangerous and may cause serious or grievous injuries, including bodily injury and/or death. On behalf of myself, Child, my heirs, assigns and next of kin, I and said Child waive all claims for damages, injuries and death sustained by me that I or said Child may have against Released Parties regarding any such activity. Child has the necessary and requisite skills to participate in all facets of, and activities of and requested of Released Parties except as noted below. The nature of the activities has been fully disclosed and any flyer, advertisement, or brochure relating to the participating activities is expressly made a part of this Waiver and Release. By this Waiver and Release, I, on behalf of said Child , assume any risk, and take full responsibility and waive any claims of personal injury or death associated with receiving soccer lessons, engaging in fitness or strength and endurance workouts, practicing and/or engaging in soccer round robins, tournaments, house leagues or other related activities conducted by Released Parties. This Waiver and Release contains the entire agreement between the parties, and supersedes any prior written or oral agreements concerning the subject matter of this Waiver and Release. The provisions of this may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties. The provision of this Waiver and Release will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of Released Parties , whether by agreement, by operation of law, or otherwise. I have read, understand and fully agree to the terms of this Waiver and Release. I understand and confirm that by signing this Waiver and Release said Child and I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional Waiver and Release of all liability to the full extent of the law. Medical Conditions. Child is subject to the following allergies or medical conditions, and I authorize Released Parties to disclose these conditions to a physician or other medical professional in the event said Child should require emergency medical care: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Prohibited Activities. As a result of the above-mentioned medical conditions, I, on behalf of Child , am prohibiting involvements in the following specific activities: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ____________________________ Printed Name of CHILD ______ Printed Name of Parent (Guardian) WITNESS my signature on the ____ day of ___________, 20____. __________________________ Signature of Parent (Guardian)