By submitting this form participant and parent/guardian agree to the following,
I hereby agree for my child to participate in club activities such as tryouts, practice, and games, and I and agree to the below statements:
In consideration of the International Soccer Association and Boca Raton Juniors, Inc. (hereafter “Club”) accepting the enrollment of Participant in a Club Program and services of the Club, Participant and his/her Parent/Guardian, on behalf of Participant’s heirs, next of kin, personal representatives, and/or assigns, promise not to sue or bring any action against the Club, its affiliated companies, its governing bodies such as Florida Youth Soccer Association and Palm Beach County Parks Department, or any of their members, directors, officers, employees, volunteers, sponsors, independent contractors of agents, and release each of them from all liability in connection with all claims for (1) personal injury or illness (including death) and (2) damage to, or loss or theft of, property (including personal items, car and money), arising from Participant’s enrollment in or participation with the Club’s programs. This release shall include claims relating to: receipt of medical care or treatment for any physical or mental condition; use of facilities, services, premises and equipment; exposure to inclement weather; and Participant’s negligence, willful misconduct, or criminal behavior; involvement in accidents.
AGREEMENT TO PARTICIPATE
Assumption of Risks: Physical activity, by its very nature, carries with it certain dangers and risks that cannot be eliminated regardless of the great care taken to prevent or minimize harm. The Club’s programs are for the sport of soccer and related activities such as strength training, running and other aerobic activities. Some of these activities involve strenuous exertions of strength using various muscle groups, some involve quick movements involving speed and change of direction, some involve potential contact with equipment, fixed objects (e.g. goals), other participants (including participants that are older or younger and who may be larger or smaller in terms of weight and height) and various surfaces types, and others involve sustained physical activity that places stress on the cardiovascular and nervous systems. The specific risks vary from one activity to another, but in each activity the risks range from (1) minor injuries such as cuts, bruises, muscle strains and sprains, to (2) major injuries such as broken or fractured bones, concussion or lost teeth, to (3) catastrophic injuries, such as heart attacks or fractured skull or those that cause disfigurement, loss of mental capacity, loss of sight, speech or hearing, paralysis or death.
In addition, by participating in the Club’s programs, Participant may be exposed, or expose others, to contagious and potentially harmful or deadly disease such as COVID-19, influenza, common cold, chicken-pox, meningitis or measles. Participant will also be exposed to risks while traveling (such as in vans when traveling to and from competitions, social events or the airport), exposure to large crowds (such as at a competition) and exposure to risks related to receipt of treatment for any physical or mental conditions.
COVID-19 Disclosure
By signing below I attest that the participant and participant's immediate family members do not have COVID-19, and are not experiencing any symptoms of sickness such as Fever, runny nose, sore throat, cough, upset stomach, and or other symptom.
-If participant is feeling sick or experiencing any symptoms, participant must stay home from activities until medical clearance is given by a doctor and it is determined that participant was not infected with COVID-19.
-If participant or participants family members contract COVID-19 they must immediately inform the club and refrain from coming to practice & activities until medical clearance is given to the participant and the club determines if it is safe for participant to return to practices.
Participants and Parent/Guardian have read the previous paragraphs and (1) understand the nature of the activities in the Academy Program, (2) understand the demands of those activities relative to the physical condition and skill level of Participant and (3) appreciate the types of injuries and illnesses and risks related to treatment for any physical or medical condition which may occur as a result of participation in the Club. Participant and Parent/Guardian hereby assert that participation in the Club and use of their facilities and services is voluntary and that Participant and Parent/Guardian knowingly assume all related risks.
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