Utoka FC - Player Registration

Upload Photo

No file chosen

First Name *

Last Name *

Date of Birth *

Sex *

Nationality *

Parent/Guardian Name

Relationship

Email Address *

Phone Number *

Street Address *

City *

State *

Level of Education *

School Name *

School Address *

Club Last Season *

Coach Name *

Current Club *

Coach Name *

Emergency Contact 1 *

Relationship *

Telephone *

Emergency Contact 2 *

Relationship *

Telephone *

I agree with the RELEASE AND WAIVER OF LIABILITY

IN CONSIDERATION of being permitted to participate in any way in an EDO FA, GRASSROOTS YOUTH FOOTBALL DEVELOPMENT LEAGUE and Affiliated Associations or League activity, I for myself, for personal representatives, assigns, heirs, and next of kin:

1. I ACKNOWLEDGE, agree, and represent that I understand the nature of the activities I have registered for and that I/my player is 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. I FULLY UNDERSTAND THAT: (a) EDO FA, and AFFILIATED ASSOCIATIONS or LEAGUE ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY (''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 RISK 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 the Activity.

3. I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE EDO FA, GRASSROOTS YOUTH FOOTBALL DEVELOPMENT LEAGUE or its affiliate, their respective Administrators, Directors, Agents, Officers, Members, Volunteers, and Employees, other participants, any Sponsors, Advertisers, and, if applicable, owner and lessors 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 Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim.

4. I hereby give approval for the participation of my child in all Edo FA, GRASSROOTS YOUTH FOOTBALL DEVELOPMENT LEAGUE and affiliated Associations or League activities and I assume all risk and hazards incident to such participation, including transportation to and from said activities. I waive, release, absolve, indemnify and agree to hold harmless the EDO FA and affiliated Association League, the Organizers, Supervisors, Officers, directors, participants and persons or parents supervising or transporting participants to or from such activities from any claims arising out of injury to my child.

5. In my absence, I hereby give my consent for emergency medical treatment for my child as approved by his/her Coach, Team Manager or another adult escort. I understand that this is to prevent undue delay and ensure prompt treatment, and that only a licensed physician, dentist or other licensed technicians or nurses will be engaged for such emergency treatment. I agree to be responsible for all fees/charges for any such necessary emergency treatment.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY CHECKING THE BOX, ''I accept the Waiver'' AND HAVE AGREED FREELY AND WITHOUT 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.