Parent/Guardian Consent & Liability Release
I, in consideration of the opportunity to participate in Soccer Nights and other Reservoir Church initiatives conducted by Reservoir Church, hereby agree and acknowledge as follows:
1. I understand that participation in Soccer Nights and other Reservoir Church initiatives involves potential exposure to physically dangerous situations and may involve unavoidable risk of injury to participants or damage to property.
2. In consideration of the opportunity for my child to participate in Soccer Nights and other Reservoir Church initiatives, I agree to hold harmless and indemnify Reservoir Church and their employees, volunteers, agents, successors, heirs, estates, executors, administrators, and assigns from any and all claims, demands, actions, damages, and liabilities whatsoever which may directly or indirectly result from or be related to any loss, damage, or injury that may be sustained by my child or sustained by any other person or property, in connection with my child’s participation in Soccer Nights and other Reservoir Church initiatives.
3. I further agree to release and forever discharge Reservoir Church, their employees, volunteers, agents, successors, heirs, estates, executors, administrators, and assigns from all such claims, demands, actions, damages and liabilities whatsoever, which I may have, on behalf of my child whether foreseen or unforeseen, on account of my child’s participation in Soccer Nights and other Reservoir Church initiatives.
4. This release and discharge shall be binding upon the successors, heirs, estates, executors, administrators, and assigns of the undersigned.
5. I certify that, to the best of my knowledge, my child has no medical, psychological, or physical conditions that could interfere with his or her safety in Soccer Nights and other Reservoir Church activities and that I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.
6. In the event of illness or injury, I hereby authorize representatives of Reservoir Church to act for me according to their best judgment in any emergency requiring immediate medical attention, and hereby grant the right to take appropriate action for my child’s health and safety and to obtain any necessary medical assistance. I understand that the directors & coaches of Soccer Nights and Reservoir Church initiatives or anyone associated with Reservoir Church will not assume responsibility for any medical or dental expenses incurred as a result of participation in this program, and those expenses shall be borne by me, as parent/guardian of my child, the registrant.
7. I give my consent to Reservoir Church to photograph, film, and/or use a photographic or digital reproduction of my child, to identify my child by name and/or to quote or record statements made by my child, for any editorial, promotional, or advertising purposes. I waive any right to inspect or approve the finished version(s). Reservoir Church and those who are authorized shall have the rights to reproduce, distribute, and display publicly, including on the Internet—photographs, film, videotape, statements, and quotes covered by this release, and to prepare derivative works. I understand Reservoir Church are not responsible for unauthorized duplication or use by third parties.
8. I acknowledge that I have read and fully understand this Consent & Liability Release and that I have signed voluntarily on the Soccer Nights player registration form.
1. I understand that participation in Soccer Nights and other Reservoir Church initiatives involves potential exposure to physically dangerous situations and may involve unavoidable risk of injury to participants or damage to property.
2. In consideration of the opportunity for my child to participate in Soccer Nights and other Reservoir Church initiatives, I agree to hold harmless and indemnify Reservoir Church and their employees, volunteers, agents, successors, heirs, estates, executors, administrators, and assigns from any and all claims, demands, actions, damages, and liabilities whatsoever which may directly or indirectly result from or be related to any loss, damage, or injury that may be sustained by my child or sustained by any other person or property, in connection with my child’s participation in Soccer Nights and other Reservoir Church initiatives.
3. I further agree to release and forever discharge Reservoir Church, their employees, volunteers, agents, successors, heirs, estates, executors, administrators, and assigns from all such claims, demands, actions, damages and liabilities whatsoever, which I may have, on behalf of my child whether foreseen or unforeseen, on account of my child’s participation in Soccer Nights and other Reservoir Church initiatives.
4. This release and discharge shall be binding upon the successors, heirs, estates, executors, administrators, and assigns of the undersigned.
5. I certify that, to the best of my knowledge, my child has no medical, psychological, or physical conditions that could interfere with his or her safety in Soccer Nights and other Reservoir Church activities and that I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.
6. In the event of illness or injury, I hereby authorize representatives of Reservoir Church to act for me according to their best judgment in any emergency requiring immediate medical attention, and hereby grant the right to take appropriate action for my child’s health and safety and to obtain any necessary medical assistance. I understand that the directors & coaches of Soccer Nights and Reservoir Church initiatives or anyone associated with Reservoir Church will not assume responsibility for any medical or dental expenses incurred as a result of participation in this program, and those expenses shall be borne by me, as parent/guardian of my child, the registrant.
7. I give my consent to Reservoir Church to photograph, film, and/or use a photographic or digital reproduction of my child, to identify my child by name and/or to quote or record statements made by my child, for any editorial, promotional, or advertising purposes. I waive any right to inspect or approve the finished version(s). Reservoir Church and those who are authorized shall have the rights to reproduce, distribute, and display publicly, including on the Internet—photographs, film, videotape, statements, and quotes covered by this release, and to prepare derivative works. I understand Reservoir Church are not responsible for unauthorized duplication or use by third parties.
8. I acknowledge that I have read and fully understand this Consent & Liability Release and that I have signed voluntarily on the Soccer Nights player registration form.