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

By enrolling at The Football Factory, Participants understand that while attending the programs and using The Football Factory facilities he/she does so at his/her own risk. The Football Factory and it's owners, employees or agents, shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by Participant with his/her family in or about any programs on the premises. Participants and Parents assume full responsibility for all injuries and damages which occur in or about any programs on the premises. He/she does hereby fully and forever release discharged hold harmless The Football Factory, all associated facilities and it's Owners, Employees, and Agents from any and all claims, demands, damages or rights of actions, presents or future resulting from any person's participation in any programs or use of the facilities. In addition, he/she agree(s) to follow the rules of conduct and play set by The Football Factory. Failure to do so may result in suspension from participation. Consent: I the undersigned parent or guardian/participant do hereby grant authority to the staff at The Football Factory to render a judgement concerning medical assistance or hospital care in the event of an accident or illness during my absence. I the parent/guardian certify that my child is in good health and able to participate with no limitations, I do hereby authorize The Football Factory to utilize any and all photographs, pictures, videos or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials or training videos.

Today's Date: September 16, 2021

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*

Confirm Email*
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*

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