RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT CONCERNING COMMUNICABLE DISEASES

In consideration of being allowed to participate, or providing express permission for my child to participate (collectively "Player") in any way in any program, event, or activity, including any practices, scrimmages, games, or tournaments sponsored or sanctioned by the Eastern Pennsylvania Youth Soccer Association and/or Patriot FC (collectively “Activity”), I the undersigned, acknowledge, appreciate, give full consent, and give express permission, that:

I am aware there are risks, including 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 understand that the Player’s participation is completely voluntary.

In consideration of the Player being permitted to participate in the Activity, I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE EASTERN PENNSYLVANIA YOUTH SOCCER ASSOCIATION and PATRIOT FC, and their collective officers, officials, employees, agents, and representatives (collectively “RELEASEES”), from any and all claims, demands, losses, and liability, including reasonable attorney’s fees, arising out of or related to any ILLNESS, INJURY, DISABILITY, OR DEATH that Player may suffer, or the Player’s family member may suffer from exposure to Player, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

Further, I agree to cooperate and comply, or I agree to direct the Player to cooperate and comply, with all rules, directions, and instructions of the coaches or other supervisory personnel in charge of the Activity (collectively “Supervisory Personnel”), especially as it relates to following of EASTERN PENNSYLVANIA YOUTH SOCCER ASSOCIATION and PATRIOT FC COVID-19 guidelines (collectively “Guidelines”).  I understand that Supervisory Personnel have the authority to remove the Player from the Activity and deny the Player’s participation in the Activity, including during times when the Player fails to comply with such Guidelines.  

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.  
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Email *
PLAYER'S FIRST AND LAST NAME *
You must complete one signed release for each Player in your family. Please do not enter more than one Player's name in this form.
PLAYER'S AGE GROUP *
RELEASE ACCEPTANCE *
ELECTRONIC SIGNATURE *
If Player is a minor (less than 18 years old) must be signed by parent or guardian (Signature format e.g., //Jane Doe//)
DATE *
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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