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Soccer Participation Waiver Form

This document is a participation waiver for a soccer team. [1] It lists various risks of playing soccer like injuries from physical activity, contact with other players, extreme weather, and travel. [2] It further explains that injuries can range from mild to severe or fatal and that risk is increased when tired. [3] By signing, the participant acknowledges the risks, accepts responsibility for any injuries, and releases the organizers from claims related to their participation.

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jahguareggae
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33 views1 page

Soccer Participation Waiver Form

This document is a participation waiver for a soccer team. [1] It lists various risks of playing soccer like injuries from physical activity, contact with other players, extreme weather, and travel. [2] It further explains that injuries can range from mild to severe or fatal and that risk is increased when tired. [3] By signing, the participant acknowledges the risks, accepts responsibility for any injuries, and releases the organizers from claims related to their participation.

Uploaded by

jahguareggae
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PARTICIPATION WAIVER

Name of participant:_______________________________________ Age:__________ DOB:______________


Team Name:_____________________________________________ Rep:_____________________________

I ASSURE YOU THAT:


1) I hearby acknowledge that I am aware of the risks and hazards associated with or related to soccer. The risks and hazards include,
but are not limited to injuries from:
 Executing strenuous and demanding physical techniques in soccer
 Dry land training including weights, running and massage
 Grass, turf and other surfaces including bacterial infections and rashes
 Falls to the ground due to uneven or irregular terrain or surfaces
 Collisions with walls and other soccer equipment and structures
 Failure to properly use any piece of equipment or from the mechanical failure or any piece of equipment
 Extreme weather conditions which may result in heatstroke, sunstroke or hypothermia
 Contact, colliding or being struck by other participants, spectators, equipment or vehicles
 Vigorous physical exertion and strenuous cardiovascular workouts
 Exerting and stretching various muscle groups; and
 Travel to and from competitive events and associated non-competitive events which are an integral part of the organizations
activities

2) Furthermore, I am aware that I may:


 Sustain injuries in soccer that can be severe, cause spinal cord injuries and even be fatal
 Experience anxiety while challenging him/herself during the activities and events
 Come into close contact with other participants, including the accidental and unexpected contact
 Risk of injury is reduced if he/she follows all rules established for participants; and
 Risk of injury increases as he/she becomes fatigued

I am registering myself voluntarily in these activities, events and programs


a) I agree that there are risks in soccer as described above and that I will be exposed to these risks and hazards
b) I agree to accept all of these risks and hazards and be responsible for any injury or other loss which I might receive while
participating in these events
c) If something happens to my being, I release the Organizers of responsibility for any claims, demands and actions and costs
which might arise out of my participation. I understand Organizers to mean, Woodstock FC, Woodstock Minor Soccer Club,
Cowan Park, City of Woodstock and their directors, officers, members, employees, volunteers, officials, participants, clubs,
agents, sponsors, owners/operators of facilities and representatives

Accidental Insurance: Executing this agreement will not preclude you from accident insurance coverage, subject to the terms and
conditions of Woodstock FC/Woodstock Minor Soccer Club

I acknowledge making this agreement

I have read and understood the terms and conditions of this agreement and by signing it voluntarily, I am agreeing to abide by these
terms

Signature of participant_________________________________________________ Date_____________________________________

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