Champion Football Participant Release Form
RELEASE OF LIABILITY FOR PARTICIPANTS
IN CONSIDERATION OF (“my dependent”), being allowed to participate in any way in the Champion Football League of Northern Virginia (sponsored by the Down Syndrome Association of Northern Virginia) program, related events and activities, the applicant submitting this waiver acknowledges, appreciates, and agrees that:
The risk of injury to my dependent from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
FOR MYSELF, SPOUSE, AND DEPENDENT 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 child’s participation; and,
I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my dependent’s readiness for participation and/or in the program itself, I will remove my dependent from the participation and bring such attention of the nearest official immediately; and,
I myself, my spouse, my dependent, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE THE 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 incident to my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I, for myself, my spouse, my dependent, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY and HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SUBMITTING IT, AND SUBMIT IT FREELY and VOLUNTARILY WITHOUT ANY INDUCEMENT.
I also authorize the use by the Down Syndrome Assocation of Northern Virginia and their programs of any photo, film or video taken of me and/or my dependent at the event for any purpose.
I agree to the terms of this waiver
This form was created inside of Down Syndrome Association of Northern Virginia.
Terms of Service