Loading...

MUNDY SPORTS COMPLEX – GENERAL WAIVER OF LIABILITY AND RELEASE FORM

Every person engaging in activities (a “Participant”) at the Mundy Sports Complex (“Facility”) must agree to the terms of this Waiver of Liability and Release Form (“Agreement”). If the Participant is under 18-years old, the Participant’s parent or legal guardian must execute this Agreement on the Participant’s behalf. No Participant will engage in any activities at the Facility without returning a signed Agreement to a Facility employee.

In consideration of my participation in activities at the Facility, I willfully acknowledge that my signature below means I understand and agree to the following terms:

CONDUCT: For the safety and enjoyment of everyone at the Facility, I agree to always conduct myself at the Facility in a safe, responsible and respectful manner. I will comply with all instructions governing my conduct by Facility employees. At the discretion of any Facility employee, Participants may be dismissed from participation and required to leave the Facility, with possible loss of payment or dues. Grounds for dismissal and leave from the Facility include, but are not limited to, failure to comply with a Facility employee’s instruction, any violent or dangerous conduct, property damage, criminal activity or unsportsmanlike behavior.

ALL RISKS ARE ASSUMED BY PARTICIPANTS: I understand that some activities at the Facility may be physically rigorous, include physical contact, and risk serious injury. I assume all risks and hazards associated with my participation in activities at the Facility. The Facility is not responsible for injuries, damage to my property, or any other losses. Potential risks and hazards inherent in activities, including soccer and lacrosse, involve injury to me, including the risk of serious injury, paralysis or death. Some risks and hazards may not be easily foreseen or avoidable. Emergency medical care may not be available in a timely manner.

PARTICIPANT’S RESPONSIBILITIES: (1) I am responsible for my own safety. I am in proper physical condition to participate in the activities. I will not participate in any activity at the Facility if I cannot do so safely. I have no known illness, disease or existing injury or physical defect that could be aggravated by my participation. I will inform a Facility employee if my health status changes. (2) I will wear proper protective equipment when engaged in all activities. For example, properly fitted mouthguards, shin protection and appropriate shoes are required for soccer and lacrosse. (3) Without exception, I agree to pay for any and all damages I cause to any property or injury to any persons at the Facility, even though leagues are required to maintain insurance. I acknowledge that I am responsible for any and all medical expenses arising from my participation. Therefore, I will maintain insurance with appropriate coverages for any potential losses or liabilities. (4) If I believe that anything at the Facility may be unsafe, I will immediately advise a supervisor and a Facility employee of the safety concern.

PUBLICITY: Participants authorize use of any photograph, voice or likeness to appear in any advertising or promotion, social media, printed materials, television, video, or radio coverage of the league or tournament, without compensation to me.

RELEASE AND WAIVER: I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue, the Facility, any club, league or tournament from any and all liability associated with my participation in activities at the Facility. This expressly includes owners, lessors, and lessees of premises, municipalities, government agencies, successors, heirs and assigns.

I have read this entire document and fully understand its contents. I acknowledge that I have waived substantial rights by accepting this document and that I do so voluntarily. I accept the terms contained in this Agreement in their entirety. My signature attests to this on behalf of myself and my executors, personal representatives, administrators, heirs, next-of-kin, successors, and assigns. This Agreement will remain effective unless and until it is revoked in writing delivered to a Facility employee, after which the Participant shall not engage in any further activities at the Facility. If any provision of this Agreement is unenforceable by law, the remainder of the Agreement shall remain valid and enforceable. 

Agreed and accepted by: 

Date Signed: May 28, 2020

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*
Check to receive information, news, and discounts by e-mail.
For those individuals under the age of eighteen (18) years (minor): As the parent or legal guardian of the minor Participant, I hereby execute this Agreement for, and on behalf of, the above-named minor. I hereby bind myself, the minor, and all other assigns to the terms of this Agreement. I represent and certify that I have the legal capacity and the authority to act for, and on behalf of, the minor in the execution of this Agreement. Agreed and accepted by:
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver