Clinic registration form
Participants name *
Participants age *
Is the participant currently an OPS player? *
Parent/ guardian name *
Email *
Phone *
Shirt size *
Which camp/s are you registering for?
PARENTAL CONSENT & WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY AGREEMENT
PARENTAL CONSENT & WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY AGREEMENT
And I, the minor’s parent and/or legal guardian:
1. ACKNOWLEDGE, agree and represent that I understand the nature of SOCCER Activities and that I am qualified, in good
health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I
believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.
2. FULLY UNDERSTAND that: a) SOCCER ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY,
INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH (“RISKS”); b) these risks and dangers may be caused
by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the
Activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; c) there may be OTHER RISKS
AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY
ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS AND DAMAGES I incur
as a result of my participation or that of the minor in theActivity.
3. HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE Osborn Performance Systems, LLC, CWSA North,
OPS FC, NCW Alliance FC, NCW Alliance Academy, Wenatchee Valley United or any affiliates, their respective
administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors,
advertisers, and, if applicable, owners, Lessors, and Lesees of premises on which the Activity takes place, (each
considered one of the “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON
MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE
“RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if,
despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
AGREEMENT I, or anyone on my behalf, makes a claim against any of the releases, I WILL INDEMNIFY, SAVE AND HOLD
HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which
any may incur as the result of such claim.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR
ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY
TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO
BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

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