USA INTERNACIONAL WAIVER


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DOB
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USA INTERNACIONAL WAIVER


In consideration of being allowed to participate in any way in any program, related events and activities, I the undersigned, acknowledge, appreciate, and agree that:
  1. The risk of injury from the activities involved in this facility is significant, including the potencial for permanent paralysis and death.
  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF FROM THE NEGLIGENCE OF RELEASEES or other, and assume full responsibility for my participation.
  3. I willingly agree to comply with terms and condition for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.
  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Soccer at USA INTERNACIONAL, its officers, officials, agents, and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and leasers of the premises, from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY, OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I have read this release of liability and assumption of risk agreement, fully understand its terms, I understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.


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The digital signature is optional, if you do not sign it you must print and sign the form manually

FOR PARENTS/GUARDIANS OF PARTICIPANTS UNDER AGE 18 AT TIME OF REGISTRATION:
This is the certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless to Releasees from any and all liability incidents to my minor child’s involvement or participation in these programs/activities as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.



Parent/Guardian Signature
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Do not complete – For use by LCA
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