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Amateur Minor Waiver and Release of Liability

In consideration of being allowed to participate in any way in the Kicking Connection Sports athletics/sports program, and related events and activities the undersigned.

Agrees the parent(s) and or legal guardian(s) will instruct the minor participant that prior to participating he or she should inspect the facilities and equipment to be used and if the participant believes anything is unsafe he or she should immediately advise his or her coach or supervisor of such condition(s) and refuse to participate.

Acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inaction or negligence but the action, inaction or negligence of others, the rules of play, or the condition of the premises or any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.

Assumes all the forgoing risks and accepts personal responsibility for the damages following such injury, permanent total disability or death.

Releases, waives, discharges and covenants not to sue Kicking Connection Sports 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 lessors or the premises used to conduct the event, all of which are hereinafter referred to as “releases” from any and all liability to each of the undersigned his or her heirs and next of kin for any and all claims, demands losses or damages on account of injury, including death and damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.

I authorize Kicking Connection to use any video, photographs, or articles about my child for publicity purposes.

I have read the above waiver and release, understand that I have given up substantial rights by signing it and sign it voluntarily.


______________________________________________________________
Parent or Guardian (Signature & Relationship) Date

_____________________________________________
Printed Name of Parent or Guardian

_____________________________________________
Printed Name of Participant

_____________________________________________________________________
Address of Participant

(______) ___________- __________________
Phone Number of Participant

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