CONNECTICUT
SPORTSPLEX Official Youth Waiver, Release Liability & Roster
I, by my
signature as parent or legal guardian acknowledge, agree, and understand that:
1.
Voluntarily
and of my own free will, I elect my child to participate as a member of a team
and league playing at the Connecticut Sportsplex.
2.
I
understand that there are certain risks and hazards involved in participating
in sports that may result in injury to my child or other players, including,
but not limited to those hazards associated with weather conditions, playing
conditions, equipment and other participants.
3.
I
understand that the very nature of the game is hazardous and risky, including,
but not limited to, the acts of throwing, kicking and catching of the ball,
running, jumping, stretching, sliding, diving, and collisions with other
players and with stationary objects, all of which can cause serious injury to
my child and to other players.
Further,
I, by my signature as a parent of a player, agree that in consideration for the
right to play as a member of the team and in consideration for permission to
play on the fields arranged for by the team or league:
1.
I
voluntarily elect to accept and assume all risks of injury incurred or suffered
by child
a.
While
practicing or playing as a member of the team;
b.
While
serving in a non-playing capacity as a team member during practice or play by
other teams or by other players on my team; and
c.
While
on or upon the premises of any and all of the fields arranged for by my team or
league for practice or play.
2.
I
release, discharge and agree not to sue the team and league designated, the
field owners or other entity designated, or their owners, officers, agents,
servants, associations, employees, or any person or entity connected with the
team, league or field for any claim, damages, costs or cause of action which I
have or may in the future have as a result of injuries or damages sustained or
incurred by my child from whatever cause.
I UNDERSTAND THE FOOD AND DRINK POLICY AT THE CONNECTICUT SPORTSPLEX AND WILL NOT CAUSE ANY FOOD, DRINK, GUM OR WATER JUGS FROM BEING BROUGHT INTO THE FACILITIES OR ONTO THE PLAYING FIELDS, (EXCEPT CLEAR PLASTIC BOTTLES FILLED WITH WATER).
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PLAYER |
DOB
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PARENT’S SIGNATURE |
EMERGENCY # |
JERS# |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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12 |
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13 |
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14 |
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15 |
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