Activity Release/ Disclaimer Form printable pdf download

ACTIVITY RELEASE FORM

Read Carefully Before Signing

ANY PARTICIPANT OR PARTICIPANT GUARDIAN MUST COMPLETE THE FOLLOWING ACTIVITY RELEASE FORM

Participant Name: ____________________________________________

Male

Female

Age ____________

Parent / Guardian Name(s): ____________________________________Parent / Guardian Phone Number(s): _______________________

_______________________

Address (including city, state and zip code): _____________________________________________________________________________

RELEASE / DISCLAIMER

I do hereby assume full responsibility for any and all damages, injuries (including death), or losses that I

may sustain or incur, if any, while attending, engaging, practicing, participating or witnessing activity

and/or certain event(s) occurring in or about the premises or at any offsite location. I hereby assume full

risk, waive all claims and release and hold Sun Devil Soccer Camp, individually or otherwise, harmless

for any and all liability, claims, suits, damages, expenses, fees, actions, or rights of action or judgments

as a result of injury or death to myself or members of my family or heirs, or my guests, or damage,

destruction or loss to my property, which in any way relates to, arises out of, or is in any way connected

with my presence on the premises, or my participation in events of activities thereon, or the negligent

acts or omissions of the releases or any other third party.

I agree to wear all protective equipment required while participating in the activity, and I am fully aware

and understand that Sun Devil Soccer Camp does not have on or about the premises, or employ or

contract with any medical services, provisions for ordinary or emergency medical services.

In consideration of my participation in and the use of the Sun Devil Soccer Camp premises or facilities, I

hereby release and covenant not to sue the owner of the premises (releases), shareholders, directors,

officers, employees, representatives, agents, affiliates and lessees from any and all claims resulting from

any physical

injury that may occur to me while participating in any program or event sponsored by Sun Devil Soccer

Camp.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE RELEASE/WAIVER AND FULLY UNDERSTAND

THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS WAIVER VOLUNTARILY.

Parents or guardians must sign if applicant is UNDER 18.

Parent or Guardian Signature: __________________________________________

Date:_____________________________________

Adult Participant Signature:

__________________________________________

Date: ____________________________________

Printed Name of Participant:

__________________________________________

Date:____________________________________

Sun D evil S occer C amp 7 33 W . N olan W ay C handler, A Z 8 5248

Activity Release/ Disclaimer Form