I, the Coach or Team
Manager named above as Registrant, in consideration of accepting the
Registrant for their Futsal programs and activities (collectively the
“Programs”) and recognizing the risk of potentially significant physical
injury occurring by participation in the Programs, including permanent
disability or death, but not limited to, viruses; emotional distress;
property damage; permanent disability; paralysis; or death
(collectively, “Risks”).
Assumption of Risk. Applicant acknowledges that the proposed use of school facilities may expose Applicant and its owners, members, officers, employees, coaches, and/or agents to certain risks. others. Applicant is voluntarily operating and participating in the proposed use of school facilities with knowledge of the risks, hazards, and other dangers involved.
I understand that the
Risks may be caused or contributed to by my own actions or inactions,
the actions or inactions of other participants, bystanders or Long
Island Futsal staff, the conditions and settings in which the Activities
take place, or the alleged or actual negligence of the Releasees. I
understand that the description and list of Risks in this Agreement is
not complete, and that I may encounter risks not specified herein, known
or unknown, in connection with the Activities. WITH A FULL
UNDERSTANDING AND APPRECIATION OF THE FOREGOING, I VOLUNTARILY AGREE TO
ASSUME THE FOREGOING RISKS AND ALL RESPONSIBILITY FOR ANY LOSSES, COSTS,
AND DAMAGES I INCUR AS A RESULT OF, OR IN CONNECTION WITH, THE
ACTIVITIES. myself and Registrant, do knowingly and freely assume all
such risks, both known and unknown, and assume full responsibility for
the Registrants participation in the Programs. Further, I, for myself
and Registrant, and on behalf of our respective heirs, assigns, personal
representatives and next of kin, do hereby release, indemnify and hold
harmless LONG ISLAND FUTSAL LEAGUE , its affiliated organizations and
sponsors, and each of their employees, volunteers, agents, other
participants, hosts, sponsors, advertisers, and the owners of the
premises upon which the Programs are held (collectively, the
"Releases"), with respect to any and all injury, disability, death, or
loss or damage to person or property incident to Registrants
participation in the Programs, and/or being transported to or from the
same, which transportation I hereby authorize, and whether arising from
the negligence of the Releases or otherwise, to the fullest extent
permitted by law. I hereby warrant and represent that the Registrant has
received a physical examination by a physician and has been found
physically capable of participating in the Programs with no reservations
or restrictions. I, for myself and Registrant, do hereby consent to
have a doctor of medicine or dentistry, a licensed nurse or emergency
technician provide Registrant with medical assistance and/or treatment
and agree to be financially responsible for the cost of such assistance
and/or treatment.
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 SIGNING
IT, AND SIGN IT FREELY AND VOLUNTARILY