Tacoma Stars Youth Clinic
WAIVER OF LIABILITY, MEDICAL RELEASE, AND INDEMNIFICATION AGREEMENT
I hereby voluntarily permit my child to participate in Tacoma Stars Youth Clinic.
I UNDERSTAND AND FULLY ACCEPT THAT THERE ARE RISKS INVOLVED IN SPORTS, AND THAT ACCIDENTS AND INJURIES ARE COMMON AND ARE ORDINARY OCCURRENCES OF SPORTS. I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH, AND VERYIFY THIS STATEMENT BY PLACING MY INITIALS HERE.
As consideration for being permitted by the Tacoma Stars to participate in this activity, I hereby release and hold harmless the Tacoma Stars, volunteers, designated coaches, and program supervisors from all liability, and from all actions or claims that I or my child now or hereafter have for damage or injury to my child, or to any person or property, resulting from the negligence or other acts of any employees or volunteers in connection with my child’s participation. I further agree that this waiver, release and assumption of risks are to be binding on the heirs and assigns of the undersigned.
I further agree to indemnify and to hold the Tacoma Stars (its officers, employees, agents and volunteers) free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of any injury and/or property damage that I or my child may cause or sustain while participating in this activity.
In case of a medical emergency, I hereby give permission to the Tacoma Stars and Volunteers to order treatment for my child, including any necessary medical treatment and x-rays. I also hereby give permission the Tacoma Stars and Volunteers to disclose the information contained on the Emergency Medical Card to medical personnel. I understand that an attempt will be made to reach me by phone when a diagnosis is completed. I agree to pay all medical, hospital, or other expenses which my child or I may incur as a result of such treatment.
The Tacoma Stars do not disclose your nonpublic personal medical and financial information, except as required or permitted by law. The Tacoma Stars also does not provide any medical or other insurance protection.
I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND THE TACOMA STARS AND SIGN IT OF MY OWN FREE WILL.
TACOMA STARS CLINIC
PHOTO RELEASE FORM
I, the parent of a child/children at the Tacoma Stars Soccer clinic, (Hereinafter known as the “Clinic”), agree to the following:
I understand that my child(ren) whose name(s) are listed below may be photographed at the Clinic during normal clinic hours. I understand that these photographs may be used in promoting the clinic, either in print or on the Internet.
With my acknowledgment below I grant permission for my child(ren) to be photographed, or their images recorded for print or electronic use in promoting the Clinic. I understand that it is my responsibility to update this form in the event that I no longer wish to authorize the above uses. I agree that this form will remain in effect during the term of my child’s enrollment. I understand that there will be no payment for me or my child’s participation in this release.
