• Winter Soccer @Airpark Soccer Complex

    Session 1 - Saturdays - November 7th through December 19th (No class November 28th) Airpark Soccerplex Location: 8340 Beechcraft Ave Ste D, Gaithersburg, MD 20879
  • Format: (000) 000-0000.
  • COMMUNICABLE DISEASE
    RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT
    In consideration of being allowed to participate in any way in our Xeneizes MD Soccer Academy programs, related events, and activities, I the undersigned, acknowledge, appreciate, and agree that:
    I am aware there are risks to me of 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, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE XMD Soccer Club & Airpark Soccerplex, its coaches, officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the events of XMD Soccer Academy & Airpark Soccerplex, from any and all claims, demands, losses, and liability arising out of or related to any ILLNESS, INJURY, DISABILITY OR DEATH I may suffer, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
    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.

    FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF REGISTRATION)
    This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
    Waiver and Release of Liability 2020 - Present
    IN CONSIDERATION OF the risk of injury that exists while participating in SOCCER; and
    IN CONSIDERATION OF my desire to participate in said Activity and being given the right to participate in same;
    I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal representatives (hereinafter collectively, “Releasor,” “I” or “Me’’, which terms shall also include releasor’s parents or guardian if releasor is under 18 years of age), knowingly and voluntarily enter into this WAIVER AND RELEASE OF LIABILITY and hereby waive any and all rights, claims or causes of action of any kind arising out of my participation in the Activity; and
    I HEREBY, release and forever discharge XMD SOCCER Club & & Airpark Soccerplex, their affiliates, managers, members, coaches, agents, staff, volunteers, heirs, representatives, predecessors, successors, and assigns (collectively “Releasees”), from any physical or psychological injury that I may suffer as a direct result of my participation in the aforementioned Activity.
    I AM COLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND IAM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO: PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY, OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS’ NEGLIGENCE, CONDITIONS RELATED TO TRAVEL TO AND FROM THE ACTICITY, OR FROM CONDITIONS AT THE ACTIVITY LOCATIONS (S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTICITY.
    I FURTHER AGREE to indemnify, defend and hold harmless the releasees against any and all claims, suits, or actions of any kind whatsoever for liability, damages, compensation, or
    otherwise brought by me, or anyone on my behalf, including attorney’s fees, and any related costs.
    I FURTHER ACKNOWLEDGE that releasees are not responsible for errors, omissions, acts, or failures to act of any party, or entity conducting a specific event, or activity on behalf of releasees. In the event that I should require medical care, or treatment, I authorize Xeneizes MD Soccer Academy to provide all emergency medical care deemed necessary, including but not limited to, first aid, CPR, the use of AED’s, emergency medical transport, and sharing of medical information with medical personnel. I further agree to assume all costs involved and agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.
    I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS “WAIVER AND RELEASE 2020 - Present” AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE XMD Soccer Club & Airpark Soccerplex AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, COACHES, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS, AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST XMD Soccer Club & & Airpark Soccerplex FOR PERSONAL INJURY OR PROPERTY DAMAGE.
    To the extent that statute or case law does not prohibit releases for ordinary negligence, this release is also for such negligence on the part of Xeneizes MD Soccer Academy, its agents, and employees.
    I agree that this release shall be governed for all purposes by Maryland law, without regard to any conflict of law principles. This release supersedes any, and all previous oral or written promises or other agreements.
    In the event that any damage to equipment or facilities occurs as a result of my or my family’s or my agent’s willful actions, neglect, or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any such actions of neglect, or recklessness.
    THIS WAIVER AND RELEASE OF LIABILITYSHALL REMAIN IN EFFECT FOR THE DURATION OF MY PARTICIPATION IN THE ACTIVITY, DURING THIS INITIAL AND ALL SUBSEQUENT EVENTS OF PARTICIPATION.
    THIS AGREEMENT was entered into at arm’s-length, without duress, or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. All Participants, Airpark Soccerplex, and XMD Soccer Club agree that this agreement is clear and unambiguous as to its terms, and that no other evidence shall
    be used or admitted to alter or explain the terms of this agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into.
    In the event that any provision contained within this Release of Liability shall be deemed to be severable, or invalid, or if any term, condition, phrase, or portion of this agreement shall remain in full force, and effect. If a court should find that any provision of this agreement to be invalid, or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited.
    I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS, OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. I CERTIFY THAT I HAVE READ THIS AGREEMENT, THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.

    PARENT / GUARDIAN WAIVER FOR MINORS
    In the event that the participant in under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows:
    I HEREBY CERTIFY that I am the parent or guardian of named above, and do hereby give my consent without reservation to the foregoing on behalf of this individual.

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          Pre K (3's & 4's)

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          9:00 am - 9:50 am

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          10:00 am - 10:50 am

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