Insurance Waiver

 

PLAYER WAIVER
& RELEASE AGREEMENT

TEAM NAME:_________________________________

IN CONSIDERATION OF ________________(Name of Minor Child/Ward or Coach), participating in any way in the American Youth Sports Athletic Association, Inc related events and
activities, the undersigned acknowledges that the risk of injury to my child/ward t}om the activities involved in these programs is significant. including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury
will always exist. Realizing that risks cannot be eliminated, I agree to the following:

I) I, FOR MYSELF’, SPOUSE, AND CHILD, AND TO TI{E GREATEST EXTENT ALLOWED BY
LAW, KNOWINGLY AND FREELY ASSUME ALL SUCH R.ISKS OF INJURY TO MY CHILD, both
known and unknown and, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES (as defined below) or others (including fellow players), and assume full responsibility for my child’s
participation; and,

2) I willingly agree to comply with the program’s stated and customary terms and conditions for
participation. If  I observe any unusual significant concern in my child’s readiness for participation in the
Program or in the Program itself, I will remove my child from participation and bring such to the attention
of the nearest Program official immediately; and,

3) I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and
next of kin, HEREBY RELEASE AND HOLD HARMLESS American Youth Sports Athletic
Association its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring
agencies, sponsors, advertisers, and if applicable, or owners and lessor of premises used to conduct the
Program (referred to in this Agreement as “releases*), WITH RESPECT TO ANY AND ALL
INJURY, DISABILITY, DEATH, or loss or damage to person or property arising out of or related to my
child’s involvement or participation in these Programs, WHETHER ARISING FROM THE
NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted bv law.

4) I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and
next of kin, HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS all the above releases from
any and all liabilities arising out of or related incident to our involvement or participation in these
Programs. EVEN IF ARISING FROM THEIR NEGLIGENCE. to the fullest extent permitted by law.

I HAVE READ This RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT,
FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY
INDUCEMENT. I HAVE BEEN ADVISED TO CONSULT AN ATTORNEY BEFORE SIGNING
THIS AGREEMENT.

PARENT/GUARDIAN NAME_________________________ PARENT/GUARDIAN SIGNATURE______________________

DATE_________________

 

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