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The Football Factory Open Play/Field Rental Waiver and Release Form

I, on behalf of myself, and/or my Minor child, attest and verify that I am over 18 years of age and am legally signing on behalf of myself (collectively identified as spectator/coach/participant) and/or, if applicable, on behalf of my Minor child (collectively identified herein as "Participant"). 

In consideration of requesting to and/or being allowed to participate/spectator/coach in any athletics/sport programs and/or otherwise participating in or attending events or activities at The Football Factory located at 85 W. Madison Ave. Dumont, NJ 07628 coinciding with the date of receipt of this document and all future dates hereafter, the undersigned: 

  • Agrees that prior to participating, he/she will inspect the facilities and equipment to be used, and if he/she believes or has reason to believe that anything is unsafe, will immediately advise a representative at The Football Factory of such conditions and refuse to participate; 
  • Acknowledges and fully understands that each participant/coach/spectator will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result from not only their own actions, but also the actions, inactions or the negligence of other, the rules of play, or the conditions of the premises or of any equipment used.  Further, that there may be risks not known to us or not reasonably foreseeable at this time; 
  • Acknowledges and fully understands that areas within the complex are designed for multiple activities and all that enter any area in the complex are doing so at their own risk. 
  • Assumes all the foregoing risks, as wells as all other risks, known and unknown, and accepts personal responsibility for the damages following such injury, permanent disability or death; 
  • To the fullest extent permitted by law, releases, waives, and forever discharges any covenants not to sue or assert any action or claim against The Football Factory 85 W. Madison Ave. Dumont NJ 07628, and /or their affiliated clubs or entities, all of their respective members, administrators, directors, coaches, and other employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners or lessees/lessors of the premises, all of which are collectively hereinafter referred to as the "Released Parties", from any and all "Released Claims".  As used herein, the term "Released Claims" shall mean any and all actions, causes of action, suits, debts, dues, accounts, bonds, covenants, contracts, agreements, judgements, torts, indemnification and/or defense obligations and claims and demands whatsoever, in law or equity (whether or not heretofore known, suspected or asserted), including but not limited to any such actions, causes of action, suits, debts, dues, accounts, bonds, covenants, contracts, agreements, judgements, torts, indemnification, and/or defense obligations and claims and demands arising out of, relating to or in any way connected with, caused, by, or alleged to be caused by the negligence of the Released Parties, or otherwise. 
  • Grants unlimited permission to The Football Factory to use, reproduce, sell disseminate, and distribute any and all photographs, images, videotapes, recordings, or any other depiction of any kind for any legitimate purpose in perpetuity, including but not limited to use on The Football Factory website and/or in any advertising and/or promotional material and understands that he/she will not be entitled to any compensation in connection therewith; 
  • Shall defend, indemnify, and hold The Football Factory, 85 W. Madison Ave. Dumont, NJ 07628,  all of their respective members, administrators, directors, offices, agents, and employees harmless from and against any and all liability, loss, expense, including reasonable attorney's fees, or claims from injury or damages arising out of the performance of this agreement but only in proportion to and to the extent such liability, loss, expense, attorney's fees, or claims for injury or damages are caused by or result from the negligence or the intentional acts or omissions of the individual or group renting space from the facility, its officers, agents or employees.  
  • Without in any way limiting any of the foregoing, User hereby expressly acknowledges and agrees that User's release and indemnify obligations in favor of and for the benefit of the Indemnified Parties as set forth hereinabove include, but is not limited to, any Claims arising from or relating to any infection, transmission, illness, injury or death caused by or related to the exposure of, to, or by any individual, by or to the Covid-19 coronavirus. 

The undersigned has read and acknowledge that he/she is entering into the above waiver, release, and image release consent understanding that he/she has given up substantial rights by signing it, and nonetheless hereby agrees to voluntarily sign.  Without limiting the generality of the foregoing, it is my intention on behalf of myself, or minor child to specifically release or indemnify The Football Factory, 85 W. Madison Ave. Dumont, NJ 07628, and all of their respective members, administrators, directors, offices, agents, and employees from any liabilities, losses, damages, settlements, claims, expenses and costs arising from me or my child's participation in the desired activity, said indemnity to include court costs and reasonable attorney's fees. 

Today's Date: April 19, 2024


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*
Parent or Guardian's Email Address

Email*
A signed copy of this waiver will be sent to the email address you provide.
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

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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