LIL KICKERS REGISTRATION (FALL 2019)

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Registration Information

 
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Disclaimer and Waivers

PLAYER DISCLAIMER, ASSUMPTION OF RISK AND WAIVER

I, the undersigned parent or legal guardian of this participant(s), a minor for myself and on behalf of the above participant(s), our heirs, assigns and next of kin, acknowledge that participation in youth sports necessarily involves travel, play in adverse field conditions, contact with considerable force, and risk of severe, permanent physical injury including bruises, scrapes, strained, sprained or torn muscles, tendons or ligaments, broken bones, dislocation of joints, concussion, brain damage, nerve and spinal cord injury, paralysis and death.  For myself and on behalf of the above participant(s), our heirs, assigns and next of kin, we willingly and voluntarily accept and assume all such risk.  For myself and on behalf of the above participant(s), I further acknowledge that Lifesong Community Church (Lifesong) is primarily administered by volunteers rather than paid professionals.  For myself and on behalf of the above participant(s), he/she/they and I willingly and voluntarily agree to comply with the stated and customary terms and conditions for participation and, if he/she/they or I observe any unusual significant concern in his/her/their readiness for participation and/or the program itself, I will remove him/her/them from participation and bring such concern to the attention of the nearest Lifesong volunteer staff immediately as soon as possible thereafter.  In consideration of accepting the registration and permitting the voluntary participation of the above-named participant(s) in its programs for myself and on behalf of the above participant(s), our heirs, assigns and next of kin, I hereby release, discharge, and agree to hold harmless Lifesong, its employees, volunteers, officials, sponsors, and other representatives from any and all claims, demands, costs, expenses, and compensation arising out of or in any way related to any physical injury or other damage that may result to said participant(s) while participating in any Lifesong-sponsored event, including any physical or other injury caused by the negligence of any such person while performing his/her duties at any time.  

I acknowledge that Lifesong provides no Accident Insurance for participants, and agree to provide our own medical insurance as listed above.  For both internal and external use, I acknowledge that Lifesong may compile and use address and youth sports photographs of the participants.  I consent to such uses, and hereby waive all rights to compensation.

I have read the above Emergency Authorization, Disclaimer Assumption of Risk and Waiver, and Acknowledgement and Consent Agreements, fully understand the terms of each, understanding that I and the above participant(s) have given up substantial rights by my signing this form and agreeing to these terms.  I sign this form and agree to these terms freely and voluntarily and without inducements for myself and on behalf of the above participant(s).
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Description

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