Brea Soccer Association
WAIVER AND RELEASE FORM FOR LIABILITY
I acknowledge that soccer or any sporting event is an extreme test of a person’s physical and mental limits and carries with it the potential for serious injury, death or property loss. I recognize that I may be asked to practice for, participate in, and travel to and from soccer events on behalf of BSA and 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: Brea Soccer Association; the Team for which I play; the Team for which I am training with; the Team for which I am trying out with; the Team Owner; any sponsors obtained by the Club; any Players or Coaches; any Officers, Directors, Employees, Representatives and 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 that I have waived, released or discharged herein; and
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.
I have read this document and I understand its contents. I understand that I have given up substantial rights by accepting this document and do so voluntarily.
FOR MINORS 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 Release, the following, for and on behalf of the minor.)
The parent and natural guardian or legal guardian of applicant hereby agree to the forgoing Waiver and 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 Release. I represent that I have legal capacity and authority to act for and on behalf of the minor in the execution of the Waiver and Release.
I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility to treat the minor named herein for the purpose of attempting to treat or relieve any injuries received by said minor arising our of, or relating to the Soccer Event. I authorize any such Medical Provider to perform all procedures deemed medical 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.