SAN DIEGO INDOOR SOCCER CENTER
Sport: LACROSSE
In consideration of the "revocable permissive entry" onto the premises of the San Diego Indoor Soccer Center, the undersigned, for himself/herself, all personal representatives, executors, executrixes, heirs, next of kin, spouses, and assigns do hereby agree as follows:
1. The undersigned does hereby FULLY RELEASE, FULLY WAIVE, FULLY
DISCHARGE, AND COVENANT NOT TO SUE, the operators of San Diego Indoor Soccer
Center, and/or GRC Inc., a California Corporation, its officers, directors,
shareholders, employees, agents, managers, attorneys, subsidiaries, independent
contractors, successors or assigns, (hereinafter collectively referred to as "releasees")
and each of them from any and all claims, and/or liability arising from the
strict liability of the "releasees", and/or the ordinary negligence of "releasees",
and/or the strict liability, and/or the negligence of any third party or
participant, which causes the undersigned injury, death, personal injury, bodily
injury, property damages, or any other type or kind of injury and/or loss,
and/or damages. The undersigned hereby covenants to hold "releasees" harmless and
to fully indemnify "releasees" from any and all claims from anybody and/or from
any entity for the payment of any type or kind of damages, judgments, awards,
or related expenses (including but not limited to "releasees" attorney fees and
court costs) that "releasees" may incur as a result of the participation of the
undersigned in any activity, and/or game, and/or match, and/or camp, and/or
practice, and/or scrimmage, and/or leagues conducted within the San Diego Indoor
Soccer Center premises by any entity or which may arise from the presence of the
undersigned within San Diego Indoor Soccer Center premises at any time.
2. The undersigned verifies he/she is physically fit and sufficiently
trained to play and compete in the San Diego Indoor Soccer Center leagues,
camps, practices, scrimmages, matches, games, and other activities and that the
undersigned's physical condition for participation in the an Diego Indoor Soccer
Center leagues, camps, practices, scrimmages, matches, games, and other
activities has been verified by a licensed medical doctor during the last six
(6) months. The undersigned verifies that he/she has, and shall maintain,
sufficient medical insurance to cover any and all medical expenses that may
arise from the undersigned's participation in the San Diego Indoor Soccer Center
leagues, or other activities and that the undersigned does not, and shall not,
rely upon or look towards the San Diego Indoor Soccer Center and/or the "releasees"
to provide any medical or other type or kind of insurance on his/her behalf.
3. The undersigned ACKNOWLEDGES AND UNDERSTANDS there is INHERENT DANGER in
the participation in any and all lacrosse activities, including but not limited
to camps, practices, scrimmages, matches, games, and other activities, which the
undersigned appreciates and voluntarily assumes. The undersigned has inspected
the San Diego Indoor Soccer Center premises. THE UNDERSIGNED VOLUNTARILY ELECT
TO ACCEPT ALL RISKS CONNECTED WITH HIS/HER PARTICIPATION IN ALL LACROSSE
ACTIVITIES, AS DESCRIBED ABOVE. THE UNDERSIGNED HAS READ THIS DOCUMENT CAREFULLY
AND FULLY UNDERSTAND EACH AND ALL OF ITS TERMS. THE UNDERSIGNED UNDERSTANDS THAT
IT IS A RELEASE OF ALL CLAIMS. THE UNDERSIGNED UNDERSTANDS THAT HE/SHE ASSUMES
ALL RISK(S) INHERENT IN ALL LACROSSE PARTICIPATION. THE UNDERSIGNED VOLUNTARILY
SIGNS HIS/HER NAME EVIDENCING HIS/HER ACCEPTANCE OF THE ABOVE PROVISIONS.
4. If a provision of this agreement is held to be illegal or invalid by a
court of competent jurisdiction, such provisions shall be considered severed and
deleted. Such severance and deletion shall not effect the validity of the
remaining provisions of this agreement which shall remain in force and effect.
5. Should any dispute arise pertaining to the terms of this agreement, or
should any action be filed or commenced to enforce the terms of this agreement,
the prevailing party shall be entitled to recover its reasonable attorney fees
and costs, whether or not such dispute proceeds to judgment.
______________________________________________ _________________________
Team (School) name (leave blank)
Level (HS / MS)
_______________________________________ _______________________________
Participant's Signature
Telephone Number
_________________________________________ _________________
________
Print Participant's Name Clearly Birth Date
Age
______________________________________________________________________________________________________________________
Address City State Zip
Today's Date______________
If the participant named herein is under the age of eighteen (18) years,
complete below:
I, participant's parent or legal guardian, hereby consent and affirm the
foregoing VOLUNTARY RELEASE-WAIVER-ASSUMPTION OF RISK AND FULL INDEMNITY
AGREEMENT on __________________________ on behalf of participant, myself, and
participant's family and all other parties as stated above. By affirming and
consenting to the Voluntary release, Waiver, Assumption of Risk and Full
Indemnity Agreement, it is my intention that the terms of this document be,
through my consent, as effective as if the participant were an adult rather than
a minor.
Parent /Guardian Signature_____________________________________________________ Date________________________
Print Parent / Guardian Name Clearly__________________________________________________________