The undersigned participant/ parent or legal guardian of the participant recognizes and acknowledges that activities at the UPPER 90 SOCCER CENTER INC., and its premises involve risk of serious injury/ but not limited to permanent disability or death, severe social and economic loss which may be a result of participant’s actions, inactions, negligence of others, the rules of play, or the conditions of the facility or any equipment used thereon. Furthermore, I understand that there may be other risks not known or reasonably foreseeable at this time and that such risks shall be assumed by the undersigned.
In case of injury during the times that the named individual is participating in any event being played at the UPPER 90 SOCCER CENTER INC., gives permission for employees, referees, volunteers or anyone associated with UPPER 90 SOCCER CENTER INC., to call for emergency rescue services should they be required. I authorize the attending physician at the hospital to administer necessary emergency medical care/ attention to the above named individual upon his/ her arrival at the hospital. I will accept full responsibility for all payments and all fees included in the care/ treatment provided in the facility of UPPER 90 SOCCER CENTER INC., and its premises, including emergency services and any other fees not mention in this waiver that has to do with the participant’s injury.
I further understand the following issues: (1) that I am legally responsible for actions of the named individual including, but not limited to, any damages to private or public property caused by him/her;(2) that I am legally responsible for my own child’s welfare and personal needs including medical expenses; and (3) that this waiver will remain in effect until November 30, 2018.
Finally, I declare that my signature shall serve as a release of liability against UPPER 90 SOCCER CENTER INC. and its premises, but not limited to its owners, shareholders, employees, employee’s families, referees, contracted workers, beneficiaries, heirs, volunteers or any agents thereof. I have read and fully understand the Waiver of Liability and Release provisions contained therein. I agree to give a copy of my DL or ID to UPPER 90 SOCCER CENTER INC.