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BROOKLYN BRIDGE PARK CONSERVANCY YOUTH SOCCER LEAGUE
WAIVER AND RELEASE OF LIABILITY

Today's Date: August 22, 2019

In consideration for the participation in Brooklyn Bridge Park athletics/sports programs of the below-named Participant, I release, waive and discharge and covenant not to sue the Brooklyn Bridge Park Conservancy, Inc., the Brooklyn Bridge Park Development Corporation, the Brooklyn Bridge Park Corporation, NYSOL, Inc d/b/a Metro Soccer NY and Play Study Win, Inc, the City of New York and their respective commissioners, directors, officers, employees, agents, successors and assigns, all of which are hereinafter referred to as "Releasees", from any and all liability to me, my heirs and next of kin or any other person, for any and all claims, demands, losses, or damages, including death or damage to property, which, in whole or in part, arise from, relate to, or are alleged to arise from or relate to the Brooklyn Bridge Park athletics/sports program, any and all related events and activities in which I am participating or the facilities or equipment used by me or by others, or are caused or alleged to be caused in whole or part by the negligence of the Releasees or otherwise to the fullest extent of the law, and I covenant not to sue the Releasees with respect thereto.

This waiver may not be modified in any way. If any part of this waiver is determined to be invalid by law, all other parts of this waiver shall remain valid and enforceable.

I acknowledge, appreciate and assume the risk of participating in athletic/sports programs and of physical engagement generally, including but not limited to falls, contact with or effects of engagement with other participants, contact with or effects of the use of sporting equipment, effects of weather including heat, humidity, cold and/or precipitation, defective equipment, the condition of Brooklyn Bridge Park, water hazards, and any hazard that may be posed by spectators or volunteers.

I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT VOLUNTARILY.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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