Here is the language that appears on our standard registration/medical form, which a parent is required to sign on behalf of any registered player before that player may play or practice. This language is subject to change at the direction of AYSO's National Office. Appropriate modifications may be required or treated as having been made in the case of a player who is 18 years old or turns 18 during the season:
I, the undersigned parent or legal guardian of the above-named
player, a minor (“Player”), on behalf of myself, Player and our heirs,
assigns and next of kin, hereby agree as follows:
EMERGENCY AUTHORIZATION: I hereby authorize each of the coaches,
team parents, and/or other officials of the American Youth Soccer
Organization (“AYSO”) to act as my agents in the capacity of activity
supervisors and vehicle drivers, and I authorize each of them as well as
the above-identified Emergency Contact to consent to medical, surgical
or dental examination and/or treatment.
DISCLAIMER, ASSUMPTION OF RISK AND WAIVER: I acknowledge that
participation in soccer necessarily involves travel, play in adverse
field conditions, contact with considerable force, and risk of severe,
permanent physical injury including bruises, scrapes, strained, sprained
or torn muscles, tendons or ligaments, broken bones, dislocation of
joints, concussion, brain damage, nerve and spinal cord injury,
paralysis and death. I willingly and voluntarily accept and assume all
such risk.
I willingly and voluntarily agree to comply with the stated and
customary terms and conditions for participation and, if Player or I
observe any concern in Player’s readiness for participation and or in
the program itself, I will remove him/her from participation and bring
such concern to the attention of the nearest official immediately and
also of the regional commissioner as soon as possible thereafter.
In consideration of accepting the registration and permitting the
voluntary participation of Player in AYSO programs, I hereby release,
discharge and agree to hold harmless to the fullest extent permitted by
law AYSO, its players, employees, volunteers, officials, sponsors and
other representatives and any and all owners, lessors, lessees or other
persons or entities allowing, permitting or authorizing the use of
facilities by AYSO and the agents, employees, officers and directors of
said persons or entities from any and all claims, demands, costs,
expenses and compensation arising out of or in any way related to an
injury or other damage that may result to said participant or to members
of my family or my household or individuals I invite or for whom I am
otherwise responsible while participating in or present at any
AYSO-sponsored event, including any physical or other injury caused by
the negligence of any person or entity described above. I further
acknowledge that AYSO is primarily administered by volunteers rather
than paid professionals.
I further acknowledge and accept that this Disclaimer, Assumption of
Risk and Waiver is intended to be as broad and inclusive as permitted by
the laws of the state in which we live and agree that if any portion of
this Disclaimer, Assumption of Risk and Waiver is deemed to be invalid,
the remainder will continue in full legal force and effect.
ACKNOWLEDGEMENT AND CONSENT: I understand the terms of the Soccer
Accident Insurance Plan are set forth in a pamphlet available from the
Safety Director of my region or on-line at
http://soccer.org/Resources/Forms/Insurance+Forms.htm,
as the same may be amended from time to time, and either I have read and
understand the terms or I will do so before permitting Player to
participate. For both internal and external use, I acknowledge that AYSO
may compile and use addresses and soccer photographs of Player
consistent with the AYSO Privacy Policy set forth at
http://soccer.org/AdminManagement/Legal/Privacy+Policy.htm,
as the same may be amended from time to time. I consent to such uses and
hereby waive all rights to compensation.
I HAVE READ THE ABOVE EMERGENCY AUTHORIZATION, DISCLAIMER, ASSUMPTION OF
RISK AND WAIVER, AND THE ACKNOWLEDGEMENT AND CONSENT AGREEMENTS PRINTED
ON THE REVERSE SIDE OF THIS FORM, I FULLY UNDERSTAND THE TERMS OF EACH,
UNDERSTAND THAT I AND PLAYER HAVE GIVEN UP SUBSTANTIAL RIGHTS BY MY
SIGNING THIS FORM AND AGREEING TO THESE TERMS, AND I SIGN THIS FORM FOR
MYSELF AND ON BEHALF OF PLAYER AND AGREE TO THESE TERMS FREELY AND
VOLUNTARILY AND WITHOUT INDUCEMENT.
.
Last updated December 02, 2006 at 07:11 AM