Waiver of Liability and Release Form

This form must be completed for each soccer player (participant) and signed by the player’s parent or legal guardian. No player will be allowed to participate in Stars Soccer league or Stars Soccer League tournament games without this form, properly executed, and on file.

PARTICIPANT’S NAME (type or print): ________________________________________

PARTICIPANT’S DATE OF BIRTH (mm/dd/yyyy): _______________________________

I, the parent or legal guardian, in consideration for my/our child’s participation with Stars Soccer League, do hereby willfully acknowledge that my signature below attests to my understanding and agreement that:

My/Our child’s player status will be kept in good standing. And will not compromise them self in such a way as to do harm to the league or tournament, knowing that a player may be dismissed from participation, with possible loss of payment or dues, for violent conduct or unsportsmanlike behavior on or off the field of play. I agree to pay for any and all damages to any property or indemnities caused willfully, negligently, or otherwise by my/our child.

Soccer is a physical, contact, sport that involves the risk of injury. I assume all risks and hazards associated with my/our child’s participation in the sport. My/Our child is in proper physical condition to participate in soccer practices and games and have no illness, disease or existing injury or physical defect that would be aggravated by their participation. I will inform the coach if this status changes. I further acknowledge that this risk may involve loss or damage to me/my/our child or me/my/our property, including the risk of death, or other unforeseen consequences, including those which may be due to the unavailability of immediate emergency medical care. I have a current medical consent form in force. My/Our child will wear shinguards, properly-fitted and appropriate shoes, and other protective equipment (e.g., mouth-pieces), as provided by soccer rules, to all events.

The league or tournament does not have personal injury insurance that covers my/our child’s participation. Therefore, I should have a current, active, personal injury insurance policy in force, which covers my/our child’s participation. Under any condition, I am responsible for any and all medical expenses arising from my/our child’s participation, both in practices and games. I have the right and responsibility to inspect the equipment and facilities prior to events and, if I believe that anything may be unsafe, I will advise the coach or supervisor of the condition and may refuse to allow my/our child to participate. Participation assumes consent.

I authorize my/our child’s photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), television, video, or radio coverage of the league or tournament, without compensation.

I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue, Stars Soccer league and tournament, their associated directors, administrators, officers, managers, employees, coaches, trainers, volunteers, sponsors and advertisers, and other agents, estates or executors, from any and all liability incurred in the conduct of, and my child’s participation in, their soccer programs. This includes owners, lessors, and lessees of premises, municipalities, government agencies, successors, heirs, and assigns.

I have completely read this document and fully understand its contents. I acknowledge that I have given up substantial rights by accepting this document and that I do so voluntarily. My signature attests to this on behalf of myself and my executors, personal representatives, administrators, heirs, next-of-kin, successors, and assigns.

As the parent and natural guardian or legal guardian of the participant, I hereby agree to the foregoing Waiver of Liability and Release for, and on behalf of, the participant (player/minor) named above. I hereby bind myself, the minor, and all other assigns to the terms of the Waiver of Liability and Release. I represent and certify that I have the legal capacity and the authority to act for, and on behalf of, the minor in the execution of this Waiver of Liability and Release.


Parent or Guardian Name (PRINT) Parent or Guardian Signature Date Signed

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