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, am the parent or guardian of
, and certify that my child has no known medical or other conditions that could interfere with his/her participation in BSM activities.
I also accept that the practice of soccer, both indoor and outdoor, involves certain risks of physical injury. Therefore, I hereby release, discharge, and hold harmless BSM, any of its directors, members, agents, employees or volunteers, and the owners, lessors of premises used and any of its staff, from any and all claims whatsoever, including but not limited to any claim of negligence or gross negligence that could otherwise be asserted arising out of or relating to any injuries that may result to any child while participating in any BSM activity, or as a result of such activities.
I understand and agree that BSM Directors have the right to terminate the enrollment of any child from BSM if the Directors, at their sole discretion, determine that the continued attendance of the child in the program is not in the best interest of the child nor the program.
I agree to supervise or designate an adult to supervise my child prior to and immediately after his/her BSM activities.
For promotional activities, BSM may utilize photographs and videos of participating children and their parents or caregivers while engaged in our activities. By signing below, you consent to such use and waive all rights to compensation.
DISEASE WAIVER OF LIABILITY
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. It is believed that an individual can be in infected with COVID-19 without their knowledge and be asymptomatic. BSM has put in place preventative measures to reduce the spread of COVID-19. However, BSM cannot guarantee that I or anyone else will not become infected with COVID-19, including my spouse, guests, unborn child, or relatives. Participation in a BSM program(s), related event, or activity, could increase the risk of contracting COVID-19. The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) to my child from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist.
FOR MYSELF, SPOUSE, AND CHILD, 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.
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 child’s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately.
I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS BSM; its directors, officers, officials, agents, employees, volunteers, 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, ILLNESS, 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 child, 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, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her responsibilities for adhering to the rules and regulations, and that my child/ward understands this agreement.
Your questions or comments are always welcome. Feel free to contact us via telephone or e-mail at any time.
By signing and dating below, I, for myself, my spouse, and child/ward, have read all enrollment conditions, release of liability and assumption of risk agreement, fully understand its terms, understand that we have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.