This site is provided by the Mason Soccer Boosters in support of the soccer program at Wm. Mason High School in Mason, Ohio.
Sponsored By:   Performance Lexus
Mason, OH
 
 
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Please print this form, have it signed by player's parents/guardians and submit it to the organizers at the tournament venue.  Also, please email the completed form to  .

 

Midwest Pre-Season Classic Required Liability Waiver Required Liability Waiver

 

Team Name:  ___________________________    Circle One:  Boys / Girls

In consideration of participating in the sport of soccer for other good and valuable consideration, I hereby agree to release and discharge from liability arising from negligence the Midwest Preseason Classic Tournament, Mason Soccer Boosters, Mason High School, the City of Mason, Warren Co. Sports Park, Warren County and it's owners, directors, officers, employees, agents, volunteers, participants, and all other persons or entities acting for them (herein after collectively referred to as "Releasees"), on behalf of myself, my spouse and my children, parents, heirs, assigns, personal representative and estate, and also agree as follows:

1). I acknowledge that the sport of soccer involves known and unanticipated risks which could result in physical or emotional injury, paralysis or permanent disability, death, and property damage. Risks include, but are not limited to, broken bones, torn ligaments, bruises, and other bodily injuries caused by contact with soccer balls, other participants, structures like goals, or spectators or other obstacles on the sidelines, or caused by uneven ground; medical conditions resulting from physical activity; and damaged clothing or other property. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity.

2). I expressly accept and assume all of the risks inherent in this activity or that might have been caused by the negligence of the Releasees. My / my child's participation in this activity is purely voluntary and I / they elect to participate despite the risks. In addition, if at any time I believe that event conditions are unsafe or that I am / they are unable to participate due to physical or medical conditions, then I will immediately discontinue my / their participation.

3). I hereby voluntarily release, forever discharge and agree to indemnify and hold harmless Releasees from any and all claims, demands or causes of action which are in any way connected with my / my child's participation in this activity, or use of their equipment or facilities, arising from negligence. This release does not apply to claims arising from 

intentional conduct. Should Releasees or anyone acting on their behalf be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

4). I represent that I have adequate insurance to cover any injury or damage that I / my child may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or damage myself. I further represent that I / my child have no medical or physical condition which could interfere with my / their safety in this activity, or else I am willing to assume--and bear the costs of--all risks that may be created, directly or indirectly, by any such condition.

5). In the event that I file a lawsuit, I agree to do so solely in the state where Releasee's facility is located, and I further agree that the substantive law of that state shall apply.

6). I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

By accepting this document, I agree that if I am / my child is hurt or my property is damaged during my / my child's participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence.

I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to accepting. Also, I understand that this activity might not be made available to me / my child or that the cost to engage in the activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain. I have read and understand this document and I agree to be bound by it's terms.

 

 

Players Full Name

Parent/Guardian

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I, ___________________       (Coach’s Name), certify that all players and their Parent/Guardian Signatures are included on

this waiver.       Coach’s Signature________________________  Date Signed______________