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Kingdom Sports Waiver
Email address
Player's First Name
Your answer
Player's Last Name
Your answer
Player's Birthdate
MM
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DD
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YYYY
Player's Gender
Phone Number
Your answer
Which program do you play in?
Required
Sport
Required
Liability Release
(Parent signature required if player is under the age of 18)

I, the undersigned, acknowledge and agree that attending or participating in sports may be hazardous and may result in injury. I further agree that I assume all risks of injury for myself and anyone who comes with me to the premises incurred or suffered while upon the premises or as a result of using the facilities or equipment therein. I further expressly agree to release Kingdom Indoor Center, LLC. (KIC)/ReThinkSoccer LLC. (ReThink) its owners, employees, agents, successors, assigns, affiliates and anyone else associated with KIC/ReThink from any and all claims, demands or damages whatsoever, whether developed or undeveloped, known or unknown, anticipated or unanticipated, have, now or in the future, including, but not limited to any and all claims, demands or damages for negligence, personal injury and/or loss, theft or destruction of personal property. It is my intention that this release is as broad as Michigan law allows releases of this sort to be. I understand that, without this document, the cost of participation would necessarily be greater, and I also acknowledge that I may obtain insurance to protect myself if I so choose. I further agree to save, hold harmless, and indemnify KIC/ReThink, its owners, employees, agents, successors, assigns, affiliates, and anyone else associated with KIC/ReThink from any and all claims, demands or damages, including cost, interest and attorneys’ fees which they may suffer or incur as a result of any claims by me, anyone who comes with me to the premises, or related entities, and/or as a result of any claims, demands or lawsuits arising out of my actions or those of anyone who comes with me to the premises. KIC/ReThink is not liable for any player that plays on your team that has not been listed and signed for on this roster. No additional players may be added after roster is submitted without KIC/ReThink management approval. I HAVE READ THE FOREGOING RELEASE, I FULLY UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.

Electronic Signature
For players under 18 years of age, this form MUST be filled out and signed by the parent or adult guardian.
I warrant the truthfulness of the information provided in this application.
I understand that entering my name in this electronic signature constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
Electronic Signature
Please Type Your First and Last Name Below (Parent Signature for Players under 18)
Your answer
Date
MM
/
DD
/
YYYY
This document is valid for one year from the date of signature.
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