Curt Onalfo Soccer Waiver Form

 


Please write the player names in the space provided.

PLAYER NAMES:____________________________________________________________________________

Please send completed form to:

Curt Onalfo Soccer
5717 Waters Edge Landing Ct.
Burke, VA 22015


I am the parent or guardian of the above named child (the “player”). I consent to the participation of the player in soccer-related programs operated by Curt Onalfo Soccer, Inc., including but not limited to training sessions, practices, games, and tournaments. I understand that the such programs are hazardous by their nature, and I assume all risk of injury or death arising from such activity, and accordingly I release, indemnify and agree to hold harmless Curt Onalfo Soccer, Inc., and the owner and operator in which the applicable program is located, and their respective directors, officers, employees, sponsors, counselors, and staff from any claim, suit, demand, or action arising in connection with the player’s participation in programs operated by Curt Onalfo Soccer, Inc. I further assume all responsibility for all transportation to and from such programs. If the player requires medical attention in the judgment of the supervisor of any program in which the player is participating, and the player’s parent or guardian or emergency contact cannot be reached after reasonable efforts to contact them (it being understood that no such efforts are required in case of emergency) the undersigned hereby authorizes such supervisor or a representative of Curt Onalfo Soccer, Inc., to obtain and authorize medical treatment for the player.
I HAVE CAREFULLY READ THE ABOVE CONSENT, RELEASE AND AUTHORIZATION AND FULLY UNDERSTAND ITS CONTENTS. I UNDERSTAND THIS IS A RELEASE OF LIABILITY AND I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT VOLUNTARILY.

Signature: ____________________________________________________________________

Relationship: __________________________________ Date: ___________________________

 

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