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Aztec Boston Azzurri Premier Soccer & Futsal

Club Liability Waiver

 

Today's Date: July 29, 2021

1) I, parent/guardian of the minor(s), do hereby consent to my child's participation in the voluntary athletic and/or recreation programs of the Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc. I also agree to forever release Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc., the facility owners, the towns/city's Public Buildings, and all their employees, agents, board members, volunteers and any and all individuals and organizations assisting or participating in voluntary athletic or recreation programs of Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc.  ("the Releases") from any and all claims, rights of action and cause of action that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to my child or property damage resulting from my child's participation in the Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc.  /Camp/Clinic or anyone doing business with Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc.


2) I also voluntarily promise, to forever release, indemnify, defend and hold harmless the Releases against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future, directly or indirectly, arising from personal injuries to my child or property damage resulting from my child's participation in the Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc. Club/Camp/Clinic program a voluntary athletic and/or recreation program.


3) Should Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc. or anyone acting on their behalf is required to incur attorney fees and cost to reinforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. 


4) I certify that I have adequate insurance to cover any damage or injury I may cause or suffer while participating in these program(s) or else I agree to bear the cost of such damages or injury to myself. I further certify that I have no physical or medical condition which could interfere with my safety in this activity or else I am willing to assume - and bear the cost of - all risks that may be created, directly or indirectly, by such condition.


5) I further affirm that I have read this Consent and Release Form and that I understand the content of this Form. I understand that my child's participation in these programs is voluntary and that my child and I are free to choose not to participate in said program.  I understand that I am responsible for paying for any and all programs, in which I register and that there are no refunds.

6) I have decided to allow my child to participate in the Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc. Club/Camp/Clinic with full knowledge that the Releases will not be liable to anyone for personal injuries and property damage my child or I may suffer involuntary participation of an F.C. Boston Azzurri Club/Camp/Clinic.


7) I and my child agree to follow the rules of the facility, Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc. and their staff.


8). I understand that club and GDL teams arequire a commitment to the team from August-June for U8-U14 and March-June.  I understand Academies require a commitment for the season; Summer, Fall, Winter, Spring.

9) There is no charge for a session that is deemed "tryout" or "open house" session, which is one day.  However, I understand that I am responsible for registering and paying for all programs online and in advance, after the first "tryout" or "open house" session.  If Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc. has to invoice and register my child I understand there is a $25 service fee.  I also understand that I am responsible for full payment for any and all programs, in which I register, or in which my child attends.  I understand that there is no negotiating advertised program costs, after having attended a session or program.   I understand that any "free", "trial", "open house" or free "try out" sessions must be clearly established in writing by Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc.  Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc. will, however, make every reasonable effort to accommodate with other sessions under circumstances that Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc. will establish and if Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal, deems reasonable and possible. I understand that there are no refunds when registering for a program.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this program, I may be found by a court of law to have waived my right to maintain a lawsuit against Aztec Boston - Azzurri, F.C. Boston Azzurri, East Coast Futsal and Aztec Soccer Inc. any facilities or staff involved on the basis of any claim from which I have released them herein.

By signing this form, I affirm that I have had sufficient opportunity to read this entire document. I have read and I understand it and I agree to be bound by its terms.

July 29, 2021

Return to Play Guidelines & Assumption of Risk

Please read in and acknowledge that you understand and agree to the Assumption of Risk and required protocol for players return to play guidelines .

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.  F.C. Boston Azzurri, Aztec Soccer, East Coast Futsal (“the Club”) has put in place preventative measures to reduce the spread of COVID-19; however, the Club cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Club could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Club and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Club may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Club employees, volunteers affiliates, venue providers and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the Club or participation in Club programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Club, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Club, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Club program.

I have read the above Assumption of Risk and Agree with the terms of the Assumption of Risk Waiver

I Agree
July 29, 2021

Boston Azzurri event,

I Agree
July 29, 2021

Please select who will be participating...
AdultMinor
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First Players Name

First Name*

Middle Name

Last Name*

Phone*
First Players Date of Birth*
I certify that I am 18 years of age or older
First Players Information

Health Issues

Health Insurance Co. *

Health Insurance Phone # *

Health Insurance Policy # *
First Players Signature*
Players 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*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
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*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Health Issues

Health Insurance Co. *

Health Insurance Phone # *

Health Insurance Policy # *
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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