PEAC Futsal League Roster/Waiver Form 2020
Please fill out the form below with the required information prior to your first game
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Team Name (ex. NLSA 06 Boys Blue)
Liability Release Waiver
In consideration of the Activities offered by PEAC Health & Fitness “PEAC” to the registered individual herein, the undersigned hereby waive, release, and discharge any and all claims which the undersigned may have, or claim to have, or any future, against PEAC, its successors, agents, employees and assigns (hereinafter “Releasee”) for all personal injuries or claims of any kind or nature known or unknown, caused by or arising out of Program, Facility and/or services provided by Releasee, its agents and employees. This release is intended to discharge in advance, the Releasee from and against any and all liability arising out of or in connection with the Program by the Participant, even though that liability may be assumed to be negligence on the part of the Releasee. The Participant further understands that personal injuries may occur, but knowing such risk and in consideration of the Program/services provided, the Participant hereby agrees to assume those risks and to release, indemnify Releasee for all expenses, including attorney costs and fees and hold harmless the Releasee even though, through negligence or carelessness, they might otherwise be liable to the participant for damages. It is further understood that this waiver, release and assumption of risk is to be binding on the participants heirs and assigns. The undersigned have read this Release and understand all items. They execute it voluntarily and with knowledge of the significance.
I have read and understood this document and agree to be bound by its terms. *
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