West Grey Soccer Club Youth Player Registration Form (Page 2 of 2) in pdf

Revised Mar 02-09

ONTARIO SOCCER ASSOCIATION: PARTICIPATION AGREEMENT

FOR THOSE UNDER 18 YRS

, PLEASE READ CAREFULLY.

By signing this document you will waive certain legal rights

Name of Player: _______________________________________ Age _____ Date of Birth ______________

IN CONSIDERATION of allowing my minor child/ward to participate in the programs, activities and events of The Ontario Soccer

Association,

I ASSURE TO YOU THAT:

I am the parent/guardian of the above named participant having full legal responsibility for decisions regarding the above

named participant.

I believe that my minor/ward is physically, emotionally and mentally able to participate in the programs, activities and

events of The Ontario Soccer Association.

I hereby acknowledge that I am aware of the risks and hazards associated with or related to soccer. The risks and hazards

include, but are not limited to injuries from:

Executing strenuous and demanding physical techniques in soccer;

Dry land training including weights, running and massage;

Grass, turf and other surfaces including bacterial infections and rashes;

Falls to the ground due to uneven or irregular terrain or surfaces;

Collisions with walls and soccer equipment;

Failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment;

Extreme weather conditions which may result in heatstroke, sunstroke or hypothermia;

Contact, colliding or being struck by other participants, spectators, equipment or vehicles;

Vigorous physical exertion and strenuous cardiovascular workouts;

Exerting and stretching various muscle groups; and

Travel to and from competitive events and associated non-competitive events which are an integral part of the

organization’s activities.

Furthermore, I am aware that my child/ward may:

Sustain injuries in soccer that can be severe, cause spinal cord injuries and even be fatal;

Experience anxiety while challenging himself/herself during the activities, events and programs;

Come into close contact with other participants, including the possibility of accidental and unexpected contact;

Risk of injury is reduced if he/she follows all rules established for participation; and

Risk of injury increases as he/she become fatigued.

I UNDERSTAND AND AGREE, on behalf of myself, my heirs, assigns, personal representatives and next of kin that my signing

of this document constitutes:

5. I am registering my child/ward willingly and my child/ward is participating voluntarily in these activities, events and programs.

6. I agree that there are risks in soccer as described above and my child/ward will be exposed to these risks and hazards.

7. I agree to accept all these risks and hazards and be responsible for any injury or other loss which my minor child/ward

might receive while participating in these events, activities and programs.

If something happens to my child/ward, I release the Organizers of responsibility for any claims, demands, actions and

costs which might arise out of my child/ward’s participation. I understand “Organizers” to mean: The Ontario Soccer

Association, District Associations, Leagues, Clubs and their directors, officers, members, employees, volunteers, officials,

participants, clubs, agents, sponsors, owners/operators of facilities, and representatives.

Accident Insurance Executing this agreement will not preclude you from accident insurance coverage, subject to the terms and

conditions of The Ontario Soccer Association’s insurance policy.

I ACKNOWLEDGE MAKING THIS AGREEMENT

I have read and understood the terms and conditions of this agreement, and by signing it voluntarily, I am agreeing to abide by

these terms.

___________________________________

____________________________________________

_______________

Printed Name of Parent or Guardian

Signature of Parent or Guardian

Date

West Grey Soccer Club Youth Player Registration Form Page 2

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