Tryouts

Tryouts

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i.e. (01/01/2003)

i.e. (Field Player or Goalkeeper)

Brief Description -or- CV

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Waiver & Liability Release

WAIVER OF LIABILITY

PARENT/LEGAL GUARDIAN MUST ACKNOWLEDGE EACH SECTION FOR YOU OR YOUR CHILD TO PARTICIPATE

Playing Waiver & Release of Liability

I hereby take the following action on behalf of myself, my minor child, my executors, administrators, 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 child’s participation in, or my child’s traveling to and from the soccer event, THE FOLLOWING PERSONS OR ENTITIES: Wichita Sports Entertainment LLC, Wichita Luck, and any sponsors and facilities 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.

Playing Waiver & Release of Liability

I acknowledge that sports are an extreme test of a person’s physical and mental capacity and carry the potential risk of serious bodily injury and in some cases death. I understand that my child, the participant, may be asked to compete in games for, practice for, participate in, and travel to and from soccer events on behalf of the Wichita Luck, Wichita Sports Entertainment LLC, and I HEREBY ASSUME THE RISK OF PARTICIPATION IN THE SOCCER EVENT.

I understand that prior to my child 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 may refuse to participate. If I choose to participate after inspecting the facilities, I assume the risks listed above.

MEDICAL RELEASE AND AUTHORIZATIONS

PARTICIPANT OR PARENT/LEGAL GUARDIAN MUST ACKNOWLEDGE EACH SECTION FOR YOUR CHILD TO PARTICIPATE

Medical Release and Authorizations

I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or healthcare facility to treat myself and/or 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.

Media Release and Authorizations

I HEREBY AUTHORIZE Wichita Luck and Wichita Sports Entertainment LLC, to publish photographs taken of me or my child, in our name and likeness, for the use in the Club’s print, online, and video-based marketing materials as well as other company publications.

Releases and Authorizations

As the participant or as natural guardian or legal guardian. I hereby agree to the foregoing Waiver and Liability Release, Medical Release, Media Release and Authorizations 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 myself and the minor in the execution of the waiver and Liability Releases.

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$40.00

Payment

USD

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