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(Last name) (First name)
Address: ___________________________________________
City: _____________________________________State:_____
Phone: __________________________Zip: _______________
Amateur Athletic Waiver
And Release of Liability
In consideration of being allowed to participate in any way in Hartford Industrial and Insurance soccer league, and related events and activities, the undersigned:
- Agree that prior to participating, they each will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise their coach or supervisor of such condition(s) and refuse to participate;
- Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and server social and economic losses which might result not only from their own actions, inaction’s or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time;
- Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death;
- Release, waive, discharge and covenant not to sue Hartford Industrial and Insurance Soccer League, its affiliated clubs, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as “releasees”, from demand, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee of otherwise.
THE UNDERSIGNED HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT THEY HAVE GIVENUP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.
PLAYER SIGNATURE__________________________________________________
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HIISL Waiver Version 1.0 Page 1 of 1