|
|
Liability
Form
Valley Futball Club Liability Form
RELEASE OF LIABILITY FOR MEMBERS PARTICIPATION
IN VALLEY FUTBALL CLUB PROGRAMS
The following release of liability language was approved by
Ron Stephenson, Attorney for Bullivant, Houser and Bailey on February 1, 2005.
Release of All Claims: I, the parent/guardian of the minor registrant, agree
that in consideration for the registrant being allowed to participate in Oregon
Youth Soccer Association (OYSA) and Valley Futball Club soccer programs
and activities (referred to as PROGRAMS below) we agree as follows:
The registrant and I agree to release, waive, discharge and indemnify
OYSA and Valley Futball Club from any and all liabilities, claims, demands
or causes of action that may arise, by or on behalf of the registrant, from or
related to any loss, damage, permanent disability or injury, including death
sustained by the registrant while they are participating in the PROGRAMS
and/or while the registrant is being transported from the same, which
transportation I hereby authorize.
This release, waiver, discharge and indemnification clause includes any claims
for injury and death based on negligence of OYSA or Valley Futball Club.
The participant and I are fully aware of the risks connected with participation
in the PROGRAMS. These risks include, but are not limited to, those caused
by terrain, facilities, temperature, weather, condition of my child, equipment,
vehicular traffic, actions of other people including, but not limited to, participants,
volunteers, spectators, coaches, event officials and monitors, and lack of hydration.
I, therefore, expressly assume all of the foregoing risks and accept personal
responsibility for maintaining the safety of my child.
Consent for Medical Treatment: As the parent/guardian of the registrant, I certify
that the registrant is in good physical condition and I have no knowledge of any
physical condition, injury, or illness whatsoever that would place my child at risk
to participate in Valley Futball Club PROGRAMS. I also hereby give consent for
emergency medical care prescribed by a duly licensed Doctor of Medicine or
Doctor of Dentistry. This care may be given under whatever conditions are
necessary to preserve the life, limb or well being of the registrant.
Code of Conduct: As the parent/guardian of the registrant, the registrant and
I agree to abide by all rules of OYSA and Valley Futball Club its affiliated
organizations and sponsors. Additionally, I hereby acknowledge that we have
received, read, understand and agree that our family and guests will fully abide
by the Parent’s Code of Conduct published by Valley Futball Club.
I will insist that my child plays in a safe and healthy environment, and I will
promptly remove my child from any situation where there is any question as
to safety or health.
________________________________________
Parent or Guardian Signature Date
|
|
