I am the parent or legal guardian of the child (“Youth”) identified in this registration, and I wish for Youth to participate in one or more programs (“Programs”) offered by Napas FC, Inc.
I understand that participation involves certain risks, including intentional or unintentional events arising from circumstances or individuals over which Napas FC, Inc. has limited or no control. On behalf of Youth, myself, and any other person who may claim through or on behalf of Youth(collectively, “Participant Parties”), Youth and I assume all risks associated with the Programs, including property damage, mental, physical, emotional, and bodily injuries, and/or death.
In consideration for Youth’s participation in a Program, I, on behalf of all Participant Parties and our respective heirs, successors, and assigns, agree to release, discharge, and waive any claims, damages, lawsuits, or causes of action (collectively, “Claims”) against Napas FC, Inc. and its affiliates, officers, directors, employees, agents, coaches, volunteers, staff, representatives, contractors, successors, and assigns (collectively, the “Released Parties”). This includes Claims for personal injury, death, or property loss or damage arising out of or related to Youth’s participation in any Program, including use of facilities or equipment or travel to/from a Program event, whether caused by the negligence or actions of the Releasees or any other person.
I further agree not to sue the Released Parties for any Claim released under this document and agree to indemnify,defend, and hold harmless the Released Parties with respect to any such Claims,including payment of reasonable attorneys’ fees and costs.
Additionally, I grant permission to Napas FC, Inc. and/or the City of Coral Springs to authorize emergency medical treatment for Youth if necessary. I assume personal and financial responsibility for any medical care and treatment required as a result of participation in the Programs and authorize emergency transportation to a medical facility if deemed necessary. The Participant Parties agree to release and indemnify the Releasees from any Claims related to such transportation or medical care.
I understand that this document is a contract between the Participant Parties and Napas FC, Inc., and I sign it of my own free will. If any part of it is held to be unenforceable, the remainder shall continue in effect. I have carefully read this document and fully understand its contents. By signing, I am giving up valuable rights.
By signing this form, I represent that I am the parent or legal guardian of Youth and intend to be bound by this Participant Release of Liability, Waiver of Claims, and Authorization of Medical Care. Accuracy of Information I represent that all information provided regarding Youth, including name, date of birth, and medical information, is accurate. Please write below your child's medical condition, if any.