*Player's
Name: Player's
E-Mail
*Address:
*City:
*Zip:
*Phone:
*Birthdate:
*2008-09 Grade:
School:
Gender: Team:
Male
Height: Weight:
Previous Team: Position:
Father's Name: Daytime
#: E-Mail Address
Mother's Name: Daytime
#: E-Mail Address
Medical Insurance Carrier:
RELEASE AND WAIVER OF LIABILITY
The player and his/her parents acknowledge that soccer is a contact
sport which involves the possible risk of injury. In exchange for the
opportunity to participate on the Club's teams, the Player and his/her
parents hereby release, and waive any liability against, the Chicago
Wind LLC, doing business as the Chicago Wind Soccer Club, its coaches,
trainers, directors, officers, managers, employees,agents or volunteers
acting on behalf of the Chicago Wind Soccer Club from any and all
liability relating to or in any manner arising out of the Player's
participation on the Chicago Wind Soccer Club; the Player's use of any
contracted fields or facility, or any part of it, including but not
limited to (1) the soccer arenas, grandstands, restrooms, and
concessions, (2)any part of the facility which the Player is not
authorized to use, and (3) any part of the facility leased to third
parties; the Player's use of any field or facility owned, leased or
used by ether the Chicago Wind LLC or the Player's participation in any
game, tournament, camp, clinic, practice while a member of the Chicago
Wind. The Player and his/her parents or guardian hereby agree to
indemnify and hod harmless the Chicago Wind LLC doing business as the
Chicago Wind, its coaches, trainers, directors, and managers, its
directors, shareholders, officers, agents and employees, from any suit
or legal proceedings, including but not limited to attorneys fees, with
respect to the Player's participation on the Club's teams, use of
facility or any other field or facility used by the Player. This
release shall be binding upon my personal representatives, heirs and
assigns.
*Check box to accept release: