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RELEASE, WAIVER AND IMDEMNITY AGREEMENT HIGH PERFORMANCE ACADEMY LLC. 

In consideration of the opportunity to participate in soccer, soccer-related and other sports-related activities (collectively, the “Activities”), and for the Activities in which I actually participate, at the any fields or facilities at which High Performance Academy LLC. may be hosting Activities (collectively, the “Facility”), I, for myself and my personal representatives, assigns, heirs and next of kin:

1. Acknowledge, represent and agree that I understand the nature and requirements of the Activities and that I am qualified, in good health, and in proper physical condition to participate in the Activities.

2. Acknowledge, represent and agree that I fully understand that: (a) the Activities involve dangers and risks that could result in serious bodily injury, including, without limitation, permanent disability, paralysis and death; (b) such dangers and risks may be caused by or result from my own actions or inactions, or the actions or inactions of others participating in the Activities, High Performance Academy LLC. (owner or lessee of the Facility) or its members, managers, agents, officer, directors, coaches, representatives and employees (collectively, the “Releasees”), and others attending or observing the Activities; and (c) the Activities and the Facility may involve dangers, risks or losses that are not now known to me and/or are not now readily foreseeable. I fully accept and assume all such risks and dangers, including, without limitation, all risks of losses, costs and damages, known or unknown, foreseeable or unforeseeable, that I may incur or sustain as a result of my participation in the Activities and use of the Facility to the extent that any and all losses, costs and/or damages are the result of, directly, indirectly or otherwise, of the actual or alleged negligence of any one or more of the Releasees.

3. Covenant, warrant and agree that I will examine the Facility and that if I observe or witness any significant danger, hazard or other unsafe condition, I will remove myself from participation and bring such danger, hazard or other unsafe condition to the attention of the nearest Releasee, referee, official or other person conducting the Activities.

4. Hereby forever release and discharge, and covenant and agree not to sue, any or all of the Releasees (including, without limitation, High Performance Academy LLC. and its successors or assigns), from and against any and all liability, claims, damages, demands, or losses caused, or allegedly caused, in whole or part by the negligence any of the Releasees. I further covenant and agree that if, despite this release, waiver of liability, assumption of risk and indemnity agreement, anyone on my behalf makes a claim against any or all of the Releasees (including, without limitation, High Performance Academy LLC. or its successors or assigns) based upon the negligence or alleged negligence of any or all of the Releasees, I will indemnify and hold harmless each of the Releases (including, without limitation,High Performance Academy LLC. and its successors or assigns) from any loss, liability, damage, cost, expense of litigation, and attorneys’ fees.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND ACKNOWLEDGE AND AGREE THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I HAVE BEEN AFFORDED FULL OPPORTUNITY TO NEGOTIATE THE TERMS HEREOF. I HAVE SIGNED THIS AGREEMENT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. I INTEND THAT THIS AGREEMENT IS A COMPLETE AND UNCONDITIONAL RELEASE OF ANY AND ALL LIABILITY FOR NEGLIGENCE TO THE GREATEST EXTENT ALLOWED BY LAW. I AGREE THAT IF ANY PROVISION OF THIS AGREEMENT IS DETERMINED TO BE INVALID, THE REMAINING PROVISIONS SHALL CONTINUE IN FULL FORCE AND EFFECT NOTWITHSTANDING.

I consent to High Performance Academy LLC. taking photographs, video recordings, and/or sound recordings in documenting the activities of High Performance Academy LLC. programs and services. I agree to receiving internal Newsletters and have the option to opt out when receiving emails. We hereby grant High Performance Academy LLC. and their affiliates' permission to use the negatives, prints, motion pictures, video/audio tapings, or any other reproduction of the same for High Performance Academy LLC. and its affiliates' educational and promotional purposes in manuals, on flyers, the internet, or other publications.

If I am executing this agreement as a parent/guardian, this is to certify that I as parent/guardian with legal responsibility for this participant, do hereby consent and agree to his/her release as provided above, and for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releases (including, without limitation, High Performance Academy LLC. or its successors or assigns) from any and all liabilities incident to my minor child’s involvement or participation in the Activities, EVEN IF ARISING FROM THE NEGLIGENCE OF RELEASEES (INCLUDING, WITHOUT LIMITATION, HIGH PERFORMANCE ACADEMY LLC. AND ITS SUCCESSORS OR ASSIGNS

First Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle 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*

Middle Name

Last Name*
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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