Octorara Soccer Club

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3v3 2020 Waiver

updated:1/27/2022

OCTORARA JR./SR. HIGH SOCCER BOOSTERS CLUB'S
3 v 3 SOCCER TOURNAMENT WAIVER
March 12, 2022
****You will sign this electronically when you register****

Please Print Player’s Name ___________________________________ Birth Date _______________

Address _____________________________________ Team _______________________________

By participating in the Octorara Jr./Sr. High Soccer Booster Club’s 3v3 Tournament, participant understands that she/he is attending the program and using the Octorara School District’s gymnasiums/property and does so at her/his own risk. Octorara Area School District and the Octorara Jr./Sr. High Soccer Booster Club and its agents, employees and staff members, officers, directors and members shall not be liable for any damage arising from any personal injury or property loss sustained by participant or his/her family during event. Participants and parents assume full responsibility for all injuries and damages which occur on the premises. She/he does hereby fully and forever release and hold harmless Octorara Area School District and the Octorara Jr./Sr. High Soccer Booster Club and its agents, employees and staff members, officers, directors and members from any and all claims, demand, damages or rights of action, present or future resulting from any person’s participation in this event. In addition, he/she agrees to follow the rules of conduct and play set by Octorara Area School District and the Octorara Jr. /Sr. High Soccer Booster Club. Failure to do so may result in suspension from participation.

Consent: I the undersigned parent or guardian/participant does hereby grant authority to Octorara Area School District and the Octorara Jr. /Sr. High Soccer Booster Club to render judgment concerning medical assistance or hospital care in the event of an accident during my absence. I do hereby authorize Octorara Area School District and the Octorara Jr./Sr. High Soccer Booster Club and its assigns to utilize all photographs, pictures and likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials.

I represent that I am over the age of 18 or a parent/guardian of the minor named above, and agree that the grant and release contained therein binds me and the minor at all times.

_____________________________________________________________
SIGNATURE (Must be parent or guardian if participant is under age 18)

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