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I, the parent/guardian of the above named “Player”, a minor, agree that the Player and I will abide by the rules of the City Futsal, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for City Futsal accepting the Player for its soccer programs and activities (the “Programs”), I hereby release, discharge and/or otherwise indemnify the City Futsal, its affiliated organizations and sponsors, their employees, associated personnel and volunteers as a result of the Player’s participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize. I further grant City Futsal the right to use my electronic signature, the player’s name, pictures and /or likeness in printed, broadcast, and other material concerning the Programs provided such use is related to the Player’s status as a participant in the Programs.
COVID-19 WAIVER OF LIABILITY AND INDEMNIFICATION:
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. I will follow all current State of Texas COVID-19 related mandates. The venues City Futsal participates in, have put in place preventative measures to reduce the spread of COVID-19; however, the City Futsal cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending these City Futsal events could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending these events and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the events may result from the actions, omissions, or negligence of myself and others, including, but not limited to, City Futsal employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at these events or participation in City Futsal programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless City Futsal, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the City Futsal, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any City Futsal program.
CONSENT FOR MEDICAL TREATMENT (MINOR)
I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent.
Consent for Medical Treatment
and Liabiity release