Southern Union Soccer League (S.U.S.L)

Player Release of Liability

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Player Information
Team Name
First Name
Last Name
Date of Birth
Drivers License Number
Address
0 /
Cell Phone
Emergency Contact
Name
Relationship
Phone Number

In consideration of being allowed to participate in any wayin the Southern Union Soccer League program, its related events and activities,I the undersigned, acknowledge, appreciate, and agree that:

1. I am over the age of 18.

2. The risk of injury from the activities involved in thisprogram is significant, including the potential for permanent paralysis anddeath, and while particular skills, equipment, and personal discipline mayreduce this risk, the risk of serious injury does exist; and,

3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both knownand unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others,and assume full responsibility for my participation; and,

4. I willingly agree to comply with the stated and customaryterms and conditions for participation. If, however, I observe any unusualsignificant hazard during my presence or participation, I will remove myselffrom participation and bring such to the attention of the Company immediately;and,

5. I, for myself and on behalf of my heirs, assigns,personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLDHARMLESS THE Southern Union Soccer League, their officers, officials, agentsand/or employees, other participants, sponsoring agencies, sponsors, advertisers,and, if applicable, owners and lessors of premises used for the activity("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH,or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OFTHE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

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