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I hereby certify that I am over the age of eighteen years and understand the nature and scope of the risks and dangers associated with playing the game of soccer. I understand that it is not the function of the United States Soccer Federation (USSF) and its affiliates, or the Virginia Soccer Alliance (VSA) and it's member clubs to guarantee the safety of participants in the game. I further understand that each individual participant bears full responsibility to exercise due care in the performance of this activity for the safety of themself and other participants. | |
I am aware that my participation or that of my minor children includes a risk of possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19; and that while particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation and the participation of any of my minor children; and I willingly agree, on behalf of myself and any of my minor children, to comply with the stated, reasonable, and/or customary terms and conditions related to my participation—and that of my minor children—as regards protection against infectious diseases; and if I observe any unusual or significant hazard during my presence or participation, I will remove myself and my minor children, as appropriate, from participation and bring such hazard to the attention of the nearest official immediately. | |
IN CONSIDERATION of being permitted to play, I hereby RELEASE AND HOLD HARMLESS USSF, Virginia Soccer Alliance, VSA, their affiliates, employees, contracted agents, directors, operators, instructors, sponsors and volunteers of and from any and all claims, demands, costs, charges and expenses for any harm, injury, illnesss, damage or loss of property which may be sustained by me or my child as a result of or relating to our participation in the game of soccer. | |
In the event of injury or illness to the above VSA participant(s), I hereby grant authority to any physician to render such emergency medical treatment as the physician deems necessary under the circumstances. I authorize emergency transportation as necessary. I agree to be responsible for any charges incurred in my treatment or the treatment of my child. Further, I agree to indemnify and hold harmless Virginia Soccer Alliance and VSA, or any coach, player, or other person engaged in this program from any liability for injuries or illness sustained by the above registered VSA participant(s). | |
Furthermore, during the course of VSA programs, photographs are occasionally taken. Through this release, I authorize VSA to print, publish, and display pictures and/or videos of me or my child to promote VSA programs through VSA publications and social media including the VSA website, https://www.virginiasocceralliance.org/. | |
I have read and understand the foregoing disclaimer and release and recognize that, by my registration hereto, I am giving up certain substantial rights. I knowingly assume the risk associated with my or my child's participation in soccer. |
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