General Waiver And Liability Form printable pdf download

General Waiver And Liability Form

GENERAL WAIVER & LIABILITY FORM

Date:

_______________

Event Location:

______________________

________

Player Name:

_______________

Program: _______________________________________________________________________________________________

Age Group/Gender:

__Ex. (U12/Boy)

Date of Birth:

________________

Email:

________________

Address:

____________________________________________________

City / State / Zip:

_______________________

Cell:

___________________________________________________________________

School:

_______ ___

Grade: __________________________________

Current/Last Club:

_______________________

________________

In consideration of being permitted to participate in exercise, athletic endeavors, or other activities (collectively “athletic

endeavors”) at River Side Park, and/or an affiliate field/facility, the undersigned participant(s) do each agree that Cincinnati

Development Academy, the Kings Hammer Soccer Club, the Cincinnati United Soccer Club, its heirs, assigns, and agents and

any and all other persons or entities involved in its athletics endeavors, SHALL NOT BE LIABLE for injury or death to the

undersigned participant(s), their heirs, assigns and agents, or for any loss due to theft of or damage to their property or for any

other consequential incidental damages caused in any manner whatsoever where any such liability is attributable to the absence

of ordinary or even slight care by Kings Hammer Soccer Club and/or Cincinnati United Soccer Club, in the conduct of athletic

endeavors.

This release, assumption of risk, and waiver shall be construed under the laws of the state in which athletic endeavors occurred.

SIGNATURE BELOW VERIFIES THAT THE UNDERSIGNED HAS READ AND FULLY UNDERSTANDS THE FOREGOING and further

certifies that the information provided in his or her registration form is true and complete.

______________

Parent and/or Guardian (PRINT NAME)

(DATE)

______________

Parent and/or Guardian (SIGNATURE)

General Waiver And Liability Form