Registration Agreement for FC Wichita Youth Academy Open Training & ID
I acknowledge that soccer or any sporting event is an extreme test of a person’s physical and mental capacity and carries with it the potential for serious injury, death. I recognize that I may be asked to practice for, participate in, and travel to and from soccer events on behalf of FC Wichita Academy, or FC Wichita LLC 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 herby 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: FC Wichita, LLC (Club); Stryker Soccer Complex (Facility); Wichita Hoops (Facility); Elite Clubs National League; any sponsors obtained by the Club; any Players, Coaches, Officers, Directors, Employees, Representatives, or 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.
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.
d) I HEREBY AUTHORIZE FC Wichita, LLC to publish photographs taken of me and my name and likeness, for the use in the Club’s print, online, and video based marketing materials as well as other registrations and publications.
I hereby affirm that I am parent and natural guardian or legal guardian of the participant. I hereby agree to the foregoing Waiver and Liability 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 Liability 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 Liability Release.
I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or healthcare facility to treat the minor named herein for the purpose of attempting to treat or relieve any injuries received by said minor arising out of, or relating to the soccer event. I authorize any such Medical Provider to perform all procedures deemed medically 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.
