This Agreement is entered into by and between [NAME OF ORGANIZATION] (hereinafter “Organization”) and the undersigned (hereinafter “Participant”).

Organization and Participant agree as follows:


1. The undersigned Participant has voluntarily applied to participate in certain athletic activities, including but not limited to competitive and non-competitive play, workouts, training, games, and scrimmages (collectively “Activities”).

2. Participant hereby acknowledges that each Activity is a HAZARDOUS ACTIVITY and that there is risk of injury, permanent disability and death due to Participant’s participation.

3. Participant, for himself/herself and for any minor children for whom he/she has applied,, further acknowledges that there may be risks and hazards, including those related to weather, surroundings, equipment failures, or any action or inaction of other participants, coaches, or officials, that cannot be anticipated.

4. Participant, for himself/herself and for any minor children for whom he/she has applied, HEREBY ASSUMES ALL SUCH RISKs.


In consideration for the Organization allowing Participant to participate in the Activities, Participant, for himself/herself and for any minor children for whom he/she has applied, does hereby AGREE TO RELEASE, DISCHARGE, AND HOLD HARMLESS THE ORGANIZATION, AND ALL OF ITs RESPECTIVE AGENTS, EMPLOYEES, MANAGERS, OFFICERS, SERVANTS, AND/OR ANY OTHER PERSONS OR ENTITIES RESPONSIBLE IN ANY WAY FOR THE ORGANIZATION OR THE ACTIVITIES (COLLECTIVELY “RELEASED PARTIES”) FROM ANY AND ALL LIABILITY, CLAIMS, LOSSES, LIABILITIES, DAMAGES, ACTIONS, OR RIGHTS OF ACTION whatsoever arisinin out of or related to Participant’s participation in the Activities or his/her use of any equipment or items of the Released Parties, including but not limited to liability for any personal injury, property damage, or death and for any damages for pain and suffering, loss of services or loss of consortium, or any attorneys’ fees or costs incurred thereto, regardless of whether or not caused by the negligence or other fault of the Released parties.

5. In further consideration for being allowed to participate, Participant does hereby REMISE, RELEASE, AND FOREVER DISCHARGE, all Released Parties from any and all claims and causes of action which exist or which may hereafter develop or arise against Released Partis, for any act or omission, including negligence, of any and all Released Parties in connection with the Premises or the Activities.

6. Participant agrees to defend, indemnify and hold harmless Released Parties and does hereby forever RELEASE, ACQUIRE, AND DISCHARGE Released Parties of and from any and all claims and liability, arising from or related to injuries or damages sustained by Participant, whether or not caused by the negligence or other fault of the Released Parties.


7. Participant also agrees that the Organization may utilize Participant’s name, voice, photograph, video, or any other reproduction of Participant’s physical likeness (“Likeness”) in connection with any media or advertising of the Activities. Participant hereby AGREES NOT TO SEEK OR ACCEPT ANY PAYMENT OR OTHER COMPENSATION outdoors of the considerations set forth in one or more of the Organizations’ promotional materials or websites.


8. This Agreement contains the entire agreement between the Participant and the Organization and no promises, representations or inducements, oral or otherwise, not expressed herein, shall be binding upon either party.

9. Moreover, this Agreement shall not be amended, modified, renewed, or extended except in writing and signed by both parties.

10. As to any minor children, Participant hereby warrants and represents that he/she has the legal authority to enter into this contract and bind the minor children to its terms.


11. Participant further represents that he/she is executing this Agreement freely and voluntarily, has carefully read the same and understands its terms without reliance upon any representations, statements or inducements not expressed herein, and has had an opportunity to obtain counsel in connection herewith.


Name of Emergency Contact: _________________________________________________________

Phone: __________________________________________________________________________


I have read and understand the Sports Liability Waiver Form. I understand and agree that this waiver carries the same legal effect as a signed and notarized document and is valid for all activities.

Participant is Age 18.

Name: Mobile Phone: Email: