WAIVER OF LIABILITY AND RELEASE FORM

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WAIVER OF LIABILITY AND RELEASE FORM

EPWSL PLAYER'S WAIVER

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PLAYER'S FULL NAME *

DATE OF BIRTH *

YYYY

PHONE NUMBER *

TEAM NAME *

CATEGORY *

MEN'S OPEN

WOMAN'S OPEN

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Soccer is a physical contact sport that involves risk of injury. I assume all risks and dangers associated with this sport. I do not have a physical condition that would prevent me from participating and I do not have any existing illness, ailment, injury or physical defect that would be aggravated by my participation. I will inform my coach if this status changes.

I must wear shin guards, proper and well-fitting shoes and other protective equipment (e.g. mouth guards), as stipulated by the rules of soccer, at all events. I will not wear any item that is prohibited by the rules or the LEAGUE (EPWSL).

The League does not carry personal injury insurance that covers my participation. I am responsible for any and all medical expenses arising from my participation. I release all members of the Eastern Prince William Soccer League from any and all liability.

El fútbol es un deporte físico de contacto que implica riesgo de lesiones. Asumo todos los riesgos y peligros asociados con este deporte. No tengo una condición física que me inpida participar y no tengo ninguna enfermedad, dolencia, lesión o defecto físico existente que pueda verse agravado por mi participación. Informaré a mi entrenador si este estado cambia.

Debo usar espinilleras, zapatos adecuados y bien ajustados y otro equipo de protección (por ejemplo, protectores bucales), según lo estipulan las reglas del fútbol, en todos los eventos. No usaré ningún artículo que esté prohibido por las reglas o la LIGA (EPWSL).

La Liga no tiene seguro contra lesiones personales que cubra mi participación. soy responsable de todos y cada uno de los gastos médicos que surgan de mi participación, Libero de cualquier responsabilidad a todos los mienbros de la Eastern Prince William Soccer League

PLEASE WRITE YOUR FULL NAME

I authorize my photograph, image and voice to appear in any documentary, promotion (including advertising) Social Media,video or Live coverage of the EPWSL, without compensation.

I hereby release, from all liability, and agree not to sue the EPWSL, The directors, volunteers, sponsors and advertisers, and other agents Of all responsibility incurred in the conduct and my participation in your soccer league.

I have fully read this document and fully understand its contents. I acknowledge that I have waived substantial rights by accepting this document.

Autorizo que mi fotografía, imagen y voz aparezcan en cualquier documental, promoción (incluida publicidad), cobertura en Redes Sociales, video o Coberturas en vivo de la EPWSL, sin compensación.

Por la presente libero de toda responsabilidad y aceptó no exigir a EPWSL, a los directores, voluntarios, patrocinadores y anunciantes, y a otros agentes de toda responsabilidad incurrida en la conducta y mi participación en su liga de fútbol.

He leído completamente este documento y entiendo completamente su contenido. Reconozco que he renunciado a derechos sustanciales al aceptar este documento.

PLEASE WRITE YOUR FULL NAME

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