Peninsula Gold Spring Tryouts - Boys and Girls
BOYS Tryout, Feb 10th: Notre Dame de Namur University - 1500 Ralston Ave, Belmont 
GIRLS Tryout, Feb 24th: Our Lady of Angels - 1328 Cabrillo Ave, Burlingame 
Email *
Parent Name  *
Player Name *
Player Grade  *
BOYS Tryouts: Saturday, Feb 10th 
Clear selection
GIRLS Tryouts: Saturday, Feb 24th 
Clear selection

In consideration of being allowed to participate in any way in Team12 Sports athletic sports league, related events and activities, the undersigned acknowledges, appreciates, and agrees that: 


1.    The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2.    I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3.    I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4.    I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Team12 Sports their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event

(“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

5.    I understand that Team12 Sports may take photographs, video, audiotape and other image and sound-based media of its employees, students, and third parties (collectively, the “images”). Team12 Sports may wish to use such images to printed publications and on its website. 


Therefore, I hereby freely and voluntarily consent to the use of the use and publication of my name, participation, picture, and/or likeness by Team12 Sports and/or its employees and/or agents for any and all purposes including, but not limited to, educational, promotional, advertising, and trade, through any medium or format as technology may now or in the future allow, including, but not limited to, videotape, audiotape, webcasting, podcasting, film, photographs, digital, internet at any time from this date forward. I further waive any claims against Team12 Sports and/or its employees and/or agents based upon or related to its use or publication of my likeness, voice, participation, and/or picture. 


FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) 

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. 


Parent or Guardian Signature: By typing your name below, you are signing this waiver electronically. 
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Team12 Sports. Report Abuse