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Palatlakaha Recreation Park | 1250 12th St, Clermont
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All American Youth Sports Waiver Form
Player's First Name
Player's Last Name
Player 2 (if needed)
Playe 2 (if needed)
Player 3 (if needed)
Player 3 (if needed)
The risk of injury to my child from the activities involved in these programs includes the potential for permanent disability and possible death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist: and
I FOR MYSELF, SPOUSE, PATRONAGES, AND MY CHILD, KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEE or others, and assume full responsibility for my child's participation: and
I willingly agree to comply with the program's stated and customary terms and conditions for participation. If I observe any unusual significant concerns in my child's readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately;
I for myself, my spouse, any patronages and my child and on behalh of any heirs, assigns, personal representatives and next of kin, HEREBY RELASE AND HOLD HARMLESS All AMERICAN YOUTH SPORTS & their affiliates, it's directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors of premises used to conduct the event "(Releases)" WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY INCIDENT TO MY CHILD'S INVOLVEMENT OR PARTICIPATION IN THIS PROGRAM, WETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, TO THE FULLEST EXTENT PERMITTED BY LAW.
I, for myself, my spouse, patronages, and my child and on behalf of other heirs or personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my child's involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent of the law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL AND ALL RIGHTS BY SIGNING IT, AND IT IS FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulations, and accept them as a participant.
Parent/Guardian Full Name
Today's Date
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