Lanier Soccer Association Liability Waiver
NOTE: This form must be read and signed before the participant is permitted to take part in the Lanier Soccer Association referee Program.
In consideration of my involvement in activities under the auspices of the U.S. Soccer Federation and hosted or organized by the Georgia Soccer, I acknowledge that:1.     There is a risk of personal injury inherent in participating in this program.  I knowingly and freely assume this risk.  I willingly agree to comply with the state and customary terms and conditions for participation.2.     I, for myself, and on behalf of my heirs, assigns, personal representatives, and next to kin, hereby release, hold harmless and promise not to sue the U. S. Soccer Federation or Lanier Soccer Association or Georgia Soccer, the officers, volunteers, staff, sponsors, and/or agents of either organization (“Releasees”) with respect to any and all injury and loss arising from my participation, whether caused by the negligence of the Releasees or otherwise, except that which is the direct result of gross negligence or wanton misconduct of the Releases, to the fullest extent permitted by law.
Sign in to Google to save your progress. Learn more
Participant’s name *
Participant’s parent(s) or legal guardian's name if the referee is under age *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lanier Soccer Association. Report Abuse