RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT
In consideration of being allowed to participate in any way in any program, event or activity sponsored or
sanctioned by the Central Virginia Futsal, FCCWO Sports, Spotsy Premier Soccer, I the undersigned, acknowledge,
appreciate, and agree that:
I am aware there are risks to me of exposure to directly or indirectly arising out of, contributed to, by, or
resulting from an outbreak of any and all communicable disease, including but not limited to, the virus
“severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for Coronavirus
Disease (COVID-19) and/or any mutation or variation thereof.
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY
RELEASE, INDEMNIFY, AND HOLD HARMLESS CENTRAL VIRGINIA FUTSAL, FCCWO SPORTS, SPOTSY PREMIER SOCCER, its member clubs and affiliates; its officers, officials, agents and/or employees
(RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any
ILLNESS, INJURY, DISABILITY OR DEATH I may suffer, WHETHER ARISING FROM THE
NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
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 WITHOUT ANY INDUCEMENT. FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree
to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of
kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents
to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING
FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.