Turlock Youth Soccer Association Waiver Acknowledgement ...
Turlock Youth Soccer Association Waiver 340 E Olive Ave, Turlock, CA 95380 ~ (209) 668-4625 ~ www. turlockyouthsoccer.org
Acknowledgement & Responsibility Assumption of Risk and Release of Liability 20___/20___ Season From - U___B/G To – U___B/G I _______________________ hereby acknowledge that participation in moving my son and/or daughter _____________________ to an older age group is purely voluntary. In recognition of the inherent risks of moving the above player to older age group, you confirm that your son or daughter is physically and mentally capable of participating in a soccer team of older players. I assume such all risks of personal injury, including but not limited to: sprains, torn muscles and/or ligaments, fractures or broken bones, eye damage, cuts, wounds, scrapes, abrasions and/or contusions, dehydration, head, neck and spinal injuries, shock, paralysis and/or death.
Waiver and Release of Liability Agreement: In consideration of, and in recognition of the inherent risks of the activity associated with Turlock Youth Soccer Association. I agree, on behalf on my son/daughter, heirs, representatives, successors, executors, administrators, and assigns, to hereby release, waive, discharge, and agree not to sue Turlock Youth Soccer Association, it’s board members, coaches, assistant coaches, parents, agents, volunteers and employees, from any and all claims or demands, obligation and/or causes of action of any nature whatsoever which I may have against Turlock Youth Soccer Association, its board members, coaches, assistant coaches, parents, agents, volunteers and employees, on account of any personal injury, property damage, death or accident of any kind, arising out of or in any way connected with Turlock Youth Soccer Association and I agree to indemnify and hold harmless the persons or entities mention in this paragraph from any and all liabilities or claims by other individuals or entities as a result of my actions. I further certify, acknowledge and agree on behalf of my son/daughter that they are: Physically and mentally capable of participation in recreational soccer. I assume responsibility for and voluntarily assume the risks for any personal injury, death or related expenses involved with this activity. I assume responsibility for damage to my son/daughter or personal property. Print Name____________________________________ Date: ____________________ Signature of Parent or Legal Guardian must sign for anyone under the age of 18 years of age. Signature__________________________________ Relationship to minor______________________ Witness to signature__________________________ TYSA Representative Position_________________
Acknowledgement & Responsibility Assumption of Risk and Release of Liability 20___/20___ Season From - U___B/G To – U___B/G I _______________________ hereby acknowledge that participation in moving my son and/or daughter _____________________ to an older age group is purely voluntary. In recognition of the inherent risks of moving the above player to older age group, you confirm that your son or daughter is physically and mentally capable of participating in a soccer team of older players. I assume such all risks of personal injury, including but not limited to: sprains, torn muscles and/or ligaments, fractures or broken bones, eye damage, cuts, wounds, scrapes, abrasions and/or contusions, dehydration, head, neck and spinal injuries, shock, paralysis and/or death.
Waiver and Release of Liability Agreement: In consideration of, and in recognition of the inherent risks of the activity associated with Turlock Youth Soccer Association. I agree, on behalf on my son/daughter, heirs, representatives, successors, executors, administrators, and assigns, to hereby release, waive, discharge, and agree not to sue Turlock Youth Soccer Association, it’s board members, coaches, assistant coaches, parents, agents, volunteers and employees, from any and all claims or demands, obligation and/or causes of action of any nature whatsoever which I may have against Turlock Youth Soccer Association, its board members, coaches, assistant coaches, parents, agents, volunteers and employees, on account of any personal injury, property damage, death or accident of any kind, arising out of or in any way connected with Turlock Youth Soccer Association and I agree to indemnify and hold harmless the persons or entities mention in this paragraph from any and all liabilities or claims by other individuals or entities as a result of my actions. I further certify, acknowledge and agree on behalf of my son/daughter that they are: Physically and mentally capable of participation in recreational soccer. I assume responsibility for and voluntarily assume the risks for any personal injury, death or related expenses involved with this activity. I assume responsibility for damage to my son/daughter or personal property. Print Name____________________________________ Date: ____________________ Signature of Parent or Legal Guardian must sign for anyone under the age of 18 years of age. Signature__________________________________ Relationship to minor______________________ Witness to signature__________________________ TYSA Representative Position_________________
