ELEVATE THE NEXT REGISTRATION FORM Logo
  • ELEVATE THE NEXT REGISTRATION FORM

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  • WAIVER OF LIABILITY AND GENERAL IMAGE RELEASE

  • In consideration to being permitted to voluntarily participate in activities during and/or ancillary to the Black Women's Player Collective Soccer Clinic on the date (the “Event”) and venue (the “Venue”) identified in this form, the undersigned, for himself/herself and on behalf of his/her child or ward as participant, as applicable (the “Undersigned”), hereby forever releases and discharges, and covenants not to sue the Venue, Black Women's Player Collective, and each of their parent, subsidiary and affiliated entities, including specifically but without limitation, BWPC, and each of their respective owners, managers, employees, agents, partners, shareholders, directors, members, representatives, officers, attorneys, vendors, sponsors, affiliates, players, licensees and assignees (collectively, the “Released Parties”) from all present and future liabilities, debts, obligations, costs, expenses, damages, losses, charges, judgments, executions, liens, claims, demands, actions or causes of action of whatever nature or description, in equity or law (collectively, the “Released Claims”) which the Undersigned may now have, or may or could or shall hereafter have against the Released Parties, whether known or unknown, suspected or unsuspected, asserted or not asserted, arising out of activities related to and participation in the Event including, but not limited to, participation in soccer training, drills, conditioning and competition, even if the risk and liabilities that the Undersigned is releasing by this Release arise out of the negligence or carelessness of the Released Parties, whether active or passive, or from any hidden, latent or obvious defects in any of the facilities of the Venue, or equipment used, of one or more of the Released Parties. The Undersigned authorizes the BWPC and/or a representative designated by the The Black Women's to provide emergency medical treatment to the participant, at the Undersigned’s cost, should the need arise. 

    The Undersigned further irrevocably grants each of the Released Parties the perpetual, worldwide, royalty-free, freely-assignable and transferrable right and license, but not the obligation, to use participant’s name, voice, image, likeness and any other identifying characteristics (collectively, “Image”) in any and all media and technology now known or hereinafter developed, in any capacity, relating to participant’s participation at the Event, without compensation to, or right of review and/or approval of the Undersigned, or a personal representative, assign, heir, child, dependent, spouse, guardian or other relative of either. Such use may include but is not limited to incorporating the Image into marketing and promotional materials. The Undersigned understands that any materials created that incorporate the Image are the sole property of the applicable Released Party for any use. The Undersigned will not hold any of the Released Parties responsible for the use of the Image by any party in any form. 

    The Undersigned further agrees to indemnify and hold harmless each of the Released Parties from any and all claims, charges, liabilities, obligations and demands (including reasonable attorneys’ fees) brough against any of the Released Parties in connection with the participant’s participation at the Event and any use of the Image, whether now existing or arising in the future, and accepts all legal responsibility for the participant’s actions and participation at the Event. The Undersigned understands, acknowledges and accepts that this Waiver is intended to be binding on the Undersigned’s family, estate, heirs, executors, administrators and assigns. The Undersigned further understands, acknowledges and accepts that participation at the Event involves certain inherit risks, including, but not limited to, serious bodily injury (including death) and agrees that participant’s participation is completely voluntary, with full knowledge of the risks involved, and accepts such risks. The Undersigned certifies that the participant is in sufficient mental and physical condition to participate in the Event. 

    The Undersigned further acknowledges the contagious nature of COVID-19 and voluntarily assumes the risk that the Undersigned may be exposed to or infected by COVID-19 by attending and/or participating in the Event, from the actions, omissions or negligence of the Undersigned and others, including but not limited to, the Released Parties, other Event or Venue personnel and volunteers and other Event participants and their families and such exposure or infection may result in personal injury, illness, permanent disability and death. 

    The Undersigned understands and agrees that the Released Claims include any claim that alleges a COVID-19 or other infection occurred before, during or after attendance at or participation at the Event and events ancillary to the Event. 

    The Undersigned understands, acknowledges and accepts the possibility that the Undersigned or his/her successors may not now fully know the number or magnitude of all the Released Claims, but nevertheless intends to assume the risk by releasing such unknown claims and agrees that this Waiver is a full and final release and waiver of all the Released Claims. This Waiver is the complete agreement between the Undersigned and the Released Parties and supersedes all prior agreements or understandings, written or oral. This Waiver may not be amended or modified other than by a written agreement executed by the parties hereto or their respective successors and legal representatives. 

     

  • The Undersigned acknowledges that he/she has carefully read this Waiver, fully understands it contents and the fact that he/she is giving up certain legal rights and agrees to its terms, is over the age of 18 and is signing this Waiver voluntarily and under no duress, coercion, or undue influence or threat of the same. This Waiver shall be governed by and construed by the laws of the State of Illinois, without reference to the principles of conflicts of laws. The Undersigned intends for and agrees that this Waiver should be construed broadly to provide a release, indemnification and waiver to the maximum extent allowed by law. Each of the provisions contained in this Waiver shall be enforceable independently of every other provision in the Waiver and the invalidity or non-enforceability of any provision shall not invalidate any other provision contained in this Waiver. 

     

    **If the participant is under the age of 18 years old, this form must be signed by the participant’s parent or legal guardian.

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