WAIVER & RELEASE OF LIABILITY
Registration Agreement for Wichita Selection Tryouts
I acknowledge that arena soccer or any sporting event is an extreme test of a person’s physical and mental capacity and carries with it the potential for serious injury, and death. I recognize that I may be asked to practice for, participate in, and travel to and from soccer events on behalf of the Wichita Selection, Wichita Selection Organization. I HEREBY ASSUME THE RISK OF PARTICIPATION IN THE SOCCER EVENT.
I agree that prior to participating, I will inspect the facilities and equipment to be used and if I believe anything is unsafe, I will immediately advise the coach or supervisor of such condition(s) and refuse to participate.
I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors, and assigns:
a) I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death or personal injury, or damages of any kind, which, arise, out of or relate to my participation in or my traveling to and from the soccer event.
THE FOLLOWING PERSONS OR ENTITIES:
Wichita Selection, Wichita Selection Organization; Premier Arena Soccer League (PASL), Let's Play Soccer Inc, Let's Play Sports Inc, The Sports Zone, any sponsors obtained by the Club or PASL; any facilities obtained by the Club, any Players, Coaches, Officers, Directors, Employees, Representatives, or Agents of the above.
b) I AGREE NOT TO SUE nor bring any type of lawsuit against any persons or entities mentioned above for any of the claims or liabilities I have waived, released, or discharged herein.
c) I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions.
d) I HEREBY AUTHORIZE
Wichita Selection, Wichita Selection Organization, to publish photographs taken of me and my name and likeness, for use in the Club’s print, online, and video-based marketing materials as well as other company publications.
I hereby affirm that I am eighteen (18) years of age or older and I have read this document and I understand its contents. I understand that I have given up substantial rights by signing this document and doing so voluntarily.
FOR MINORS USE ONLY:
I AM UNDER THE AGE OF EIGHTEEN (18) YEARS OLD. MY PARENTS/GUARDIAN HAS READ AND COMPLETED THE SECTION BELOW. (If the applicant is under 18 years of age, a parent or guardian must execute, in addition to the foregoing Waiver and Liability Release, the following, for and on behalf of a minor.)
As the parent and natural guardian or legal guardian of(Minor’s Name), I hereby agree to the foregoing Waiver and Liability Release for and on behalf of the named herein. I hereby bind myself, the minor, and all other assigns to the terms of the Waiver and Liability Release. I represent that I have the legal capacity and authority to act for and on behalf of the minor in the execution of the waiver and Liability Release.
I hereby authorize any licensed physician, emergency medical technician, hospital, or other medical or healthcare facility to treat the minor named herein for the purpose of attempting to treat or relieve any injuries received by said minor arising out of, or relating to the soccer event. I authorize any such Medical Provider to perform all procedures deemed medically advisable. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself and said minor.