Simply Soccer Limited- Waiver of Liability and Release Form
This form must be completed for each soccer player (participant) and, if the player is under 18-years old, must be signed by the player’s parent or legal guardian. No player will be allowed to participate in Simply Soccer Limited programs without this form, properly executed, and on file.
You may digitally sign this document during the registration process. Please review it carefully. We will send you a PDF copy via email upon registration.
You may also download the waiver here, or request a printed copy.
PARTICIPANT’S NAME (type or print): ________________________________________
PARTICIPANT’S DATE OF BIRTH (mm/dd/yyyy): _______________________________
I, the undersigned, in consideration for my voluntary participation in organized soccer, do hereby willfully acknowledge that my signature below attests to my understanding and agreement that:
My player status will be kept in good standing. I will not compromise myself in such a way as to do harm to Simply Soccer Limited and/or its programs, knowing that players 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 by me willfully, negligently, or otherwise.
Soccer is a physical, contact, sport that involves the risk of injury. I assume all risks and hazards associated with my participation in the sport. I am in proper physical condition to participate in soccer programs and have no illness, disease or existing injury or physical defect that would be aggravated by my participation. I will inform a staff member if this status changes. Risks of soccer activities include, but are not limited to, loss or damage to personal property, injury, permanent disability, or even death, exposure to inclement weather, slipping, falling, insect or animal bites, being struck by fallen objects or physically impacting a fence or barrier, hypothermia, hyperthermia, and that severe social or economic losses could result from any such incident. Other unforeseen consequences could arise, including those which may be due to the unavailability of immediate emergency medical care. I will wear shin guards, properly-fitted and appropriate shoes, and potentially other protective equipment if medically necessary (e.g., mouth-pieces), as provided by soccer rules, to all Simply Soccer Limited events. Finally, there may be other risks not known to me or not reasonably foreseen at this time.
Simply Soccer Limited does not have personal injury insurance that covers my participation. Therefore, I should have a current, active, personal injury insurance policy in force, which covers my participation. Under any condition, I am responsible for any and all medical expenses arising from my participation in all Simply Soccer Limited programs and while travelling to and from these events. 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 participate. Participation assumes consent.
I authorize my photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), television, website, branding, email, video, or radio coverage of Simply Soccer Limited programs without compensation.
I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue, Simply Soccer Limited and its directors, administrators, officers, managers, employees, coaches, trainers, volunteers, sponsors and advertisers, and other agents, estates or executors, from any and all liability, claims, demands, and causes of action incurred in the conduct of, and my participation in, their soccer programs, whether resulting from negligence or otherwise. 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.
Assumption of the Risk and Waiver of Liability Relating to Covid-19:
The novel coronavirus, Covid-19, has been declared a worldwide pandemic by the World Health Organization. Covid-19 is extremely dangerous and is believed to be spread from person-to-person contact. As a result, Federal, State, and Local governments and health agencies recommend established guidelines to reduce the risk of spreading the virus. These include requiring social distancing and, in many locations, prohibiting the congregation of large groups of people. These guidelines are for the safety of the public and should be followed.
Notwithstanding recommendations and guidelines by these entities, it must be understood that Covid-19 is a continuing threat to the health and lives of the citizens of Colorado.
Simply Soccer Limited (“SS”) has put in place preventative measures to reduce the spread of Covid-19. However, it is understood that SS cannot guarantee that you or your child(ren) will not come into contact with or become infected with Covid-19. Your mere physical presence at SS activities could increase your risk and your child(ren)’s risk of contracting the disease.
Notwithstanding the risk of infection, I, on behalf of myself and/or my minor children, wish to voluntarily participate in soccer activities offered by SS. In consideration of being allowed to participate in any way in SS programs, and related events and activities, I and/or the minor child(ren) state as follows:
- I understand that although SS has taken precautions to provide proper organization, supervision, instruction, and equipment for the services being offered, it is impossible for SS to guarantee absolute safety from infection by the corona virus. Also, I understand that I share the responsibility for safety during all activities, and I assume that responsibility. I will make the coaching or admin staff aware in writing of any questions or concerns regarding my understanding of safety standards, guidelines, procedures, and my ability to participate at any point during any activity. I will also take steps to ensure the health of my child(ren) before the child participates in any SS program.
- I understand that risks during soccer activities include possible exposure to the corona virus, in addition to all of the other risks aforementioned.
- I assume all the foregoing risks and accept personal responsibility for the damages due to such injury, permanent disability, or death resulting from participation in any SS activity.
Regardless of any steps taken by SS to reduce the risks associated with the Covid-19 pandemic, I am fully aware that there are a number of risks associated with my child’s care at SS during the Covid-19 pandemic, including without limitation, being exposed to and contracting Covid-19 from other individuals, surfaces, and/or airborne particles. I understand that my child’s contracting of Covid-19 could result in serious medical symptoms requiring medical treatment in a hospital or even death. On behalf of myself and my child, and our heirs, successors, and assigns, I knowingly and freely, assume all such risks, both known and unknown, relating to my child’s care at SS arising from or relating to Covid-19, including all illnesses, injuries, damages or death arising therefrom, and I hereby forever release, waive, relinquish, and discharge SS, along with the owners, officers, directors, members, managers, partners, trustees, agents, contractors, employees, affiliates or other representatives, and their successors and assigns (collectively, “SS Representatives” from any and all claims, demands, liabilities, rights, damages, expenses, and causes of action whatever kind of nature, and other losses of any kind, whether known or unknown, foreseen or unforeseen, (collectively, “Damages”) arising from or related to Covid-19 as a result of my or my child’s care at SS, and including but not limited to claims based on the alleged negligence of any SS Representatives or any other person. I further promise not to sue SS or any SS Representative for any illness, injury, or death or other Damages arising from or related to Covid-19 and agree to indemnify and hold them harmless from any and all Damages resulting therefrom as a result of my child’s care at SS.
If any provision of this Waiver and Release of Liability is declared invalid, the remaining provisions remain enforceable. I may seek advice from legal counsel before signing this Waiver and Release of Liability. By signing this Waiver and Release of Liability, I acknowledge that either I have sought the advice of legal counsel or wish to waive the opportunity to seek the advice of counsel before signing.
READ CAREFULLY- By signing this document, you may give up important legal rights.
For those individuals eighteen (18) years of age and older:
___________________________ __________________________ _______________
Participant’s Name (PRINT) Participant’s Signature Date Signed
For those individuals under the age of eighteen (18) years (minor):
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