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. I recognize that I am asking to practice for, participate in, soccer events on behalf of 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 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: FC Wichita LLC (Club); Wichita Hoops, Capelli Sport, any and all 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 company publications.
I hereby affirm that I have read this document and I understand its contents. I understand that I have given up substantial rights be signing this document and do so voluntarily.
FOR MINORS USE 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 Liability Release, the following, for and on behalf of minor.)
As the parent and natural guardian or legal guardian of a participant under the age of 18 years of age. 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.
