Liability Release Form - Club X Tornado Memorial printable pdf download

2016 CLUB X TORNADO MEMORIAL Liability Release and Concussion Awareness

Team Name ____________________________________________________ Division_________________________ Coach _________________________________

Assumption of Risk:

Release and Waiver of Liability, Assumption of Risk, and Indemnity and Parental Consent Agreement

In Consideration of being permitted to participate in any way in the Club X Memorial Soccer Tournament I, for myself for personal representatives, assigns, heirs, and

next of kin:

1. Acknowledge, agree, and represent that I understand the nature of soccer tournament activities and that I or my ward, am qualified, in good health, and in proper

physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions to be unsafe; I will immediately discontinue further

participation in the Tournament

2. Fully understand that: (a) the Club X Tornado Memorial Soccer Tournament and it’s activities involve risks and dangers of serious bodily injury, including

permanent disability, paralysis and death (“Risks”); (b) these risks and dangers may be caused by my own actions or inaction’s the actions or inaction’s of others

participating in the tournament, the condition in which the tournament takes place, or the Negligence of the “Releasees” named below; (c) there may be Other Risk and

Social and Economic Losses either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses

and costs, and damages I incur as a result of my participation or that of the minor in the Activity.

3. Hereby Release, Discharge, and covenant not to sue Club X Inc., their respective administrators, directors, agents, officers, members, volunteers, and employees,

other participants, any sponsors, advertisers, and if applicable, owner and lessors of premises on which the tournament takes place, (each considered one of the

“releases” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR

DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF

THE RELEASEES” OR OTHER WISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I FURTHER AGREE that if, despite this release and waiver of

liability assumption of risk, and indemnity agreement I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless

each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim.

I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and without inducement

or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of

this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

MINOR RELEASE And I, the Minor’s parent and or legal guardian, understand and the nature of Club X Tornado Memorial Soccer

Tournament activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health and in proper physical condition to participate in

such activity, I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasee’s from all liability claims,

demands, losses, or damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including

negligent rescue operation and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of releasees named

above, I will indemnity, save, and hold harmless each of the realeasees from any litigation expenses, attorney fees, loss liability, damage, or cost any may incur as the

result of any such claim. As well, I have read, understand, and agreed to the Concussion Awareness Program.

No player will be allowed to participate until signature is obtained and this form is received by the Club X Tornado Memorial Tournament Committee at the

registration.

PLAYER NAME

BIRTHDATE

PARENT/LEGAL GUARDIAN SIGNATURE

DATE

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