ACTIVITY RELEASE FORM

Please Read Carefully Before Signing

ANY PARTICIPANT OR PARTICIPANT GUARDIAN MUST COMPLETE THE FOLLOWING ACTIVITY RELEASE FORM

Participant Name: ___________________________________ Male          Female         Age: ____

Parent / Guardian Name(s): ________________________ Phone Number: __________________

Address: _______________________________________________________________________

RELEASE DISCLAIMER

I do hereby assume full responsibility for any and all damages, injuries (including death), or losses that I may sustain or incur, if any, while attending, engaging, practicing, participating or witnessing activity and/or certain event(s) occurring in or about the premises or at any offsite location. I hereby assume full risk, waive all claims and release and hold Capital SP, individually or otherwise, harmless for any and all liability, claims, suits, damages, expenses, fees, actions or rights of action or judgements as a result of injury or death to myself or members of my family or heirs, or my guests, or damage, destruction or loss to my property, which in any way relates to, arises out of, or is in any way connected with my presence on the premises, or my participation in events of activities thereon, or the negligent acts or omissions of the releases or any other third party.

I am fully aware that Capital SP does not have on or employ or contract with any medical services.

In consideration of my participation in and the use of Capital SP services, I hereby release and covenant not to sue the owners, staff members, affiliates and volunteers from any and all claims resulting from any physical injury that may occur to me while participating in any program or event sponsored by Capital SP Soccer.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE RELEASE/WAIVER AND FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS WAIVER VOLUNTARILY - Parents or Guardians MUST Sign if Applicant Is UNDER 18

Parent or Guardian Signature: __________________________________________________ Date: __________________

Adult Participant Signature: ____________________________________________________ Date: __________________

Printed Name of Participant: ___________________________________________________ Date: __________________

 

 

 

 

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Capital-SP HQ

Parkland County
Alberta
Canada

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780.299.2440
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