Waiver Release Form


In consideration of , my minor child/ward, being allowed to participate in any way in the Progressive Youths Soccer Club, related events, and activities, the undersigned acknowledges, appreciates, and agrees to the following: I realize that soccer is a vigorous physical activity that involves running, jumping, and rotation; violent body contact; rapid directional change. I understand that participation in soccer involves certain inherent risks and that regardless of the precautions taken by Progressive Youths Soccer Club or the participants, some injuries may occur.

These injuries include but are not limited to:

  • Sprains, strained muscles
  • Broken bones, dislocated joints
  • Permanent disability
  • Quadriplegia
  • Death

These injuries may result from hazards such as but not limited to:

  • Running into an opponent
  • Stepping on uneven ground
  • Running into a goal or other obstruction
  • Being struck by another opponent or the ball

Adhering to the following safety rules may lessen the likelihood of such injuries:

  • Properly warm up before practices or games
  • No "horseplay" or fighting during practices or games
  • Wearing personal protective equipment

I willing agree to comply with the program's stated and customary terms and conditions for participation. In order to properly protect my own child’s safety and that of fellow participants, I agree to follow these rules as well as any others that may be given by my child’s coach, official, or any other agent of the PYSC. Further, in recognition of the importance of shared responsibility for safety, I will remove my child and immediately report any noted deviations from the safety rules as well as any observed hazardous conditions or equipment to the coach, official, or agent of PYSC. I further certify that my child’s present level of physical condition is consistent with the demands of active participation in soccer.

I HAVE CAREFULLY READ THE FOREGOING DOCUMENT. I HAVE HAD THE OPPORTUNITY TO ASK QUESTIONS AND HAVE THEM ANSWERED. I AM CONFIDENT THAT I FULLY KNOW, UNDERSTAND, AND APPRECIATE THE RISKS INVOLVED IN ACTIVE PARTICIPATION IN SOCCER.

HAVING BEEN INFORMED of the above program to provide games for girls and boys, I, the parent of the above-named registrant, do hereby give my approval of his/her participation in any and all of the activities during the current season. I ASSUME ALL THE RISKS AND HAZARDS INCIDENTAL TO THE CONDUCT OF THE ACTIVITIES, and I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives, and next of kin, do further RELEASE, ABSOLVE, INDEMNIFY, AND HOLD HARMLESS the Progressive Youth Soccer Club, the organizers, sponsors, supervisors, volunteers, other participants, advertisers, officials, and, if applicable, owners and lessors of premises used to conduct practices or games, any or all of them. In case of injury to my son/daughter, I HEREBY WAIVE ALL CLAIMS against the organizers, the sponsors, or any of the supervisors appointed by them. I am voluntarily requesting permission for my son/daughter to participate.

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Signature Certificate
Document name: Waiver Release Form
lock iconUnique Document ID: 44a81cb89a8039adb27f6d24a0d2641d35034c42
Timestamp Audit
June 23, 2024 12:08 am ESTWaiver Release Form Uploaded by Kevin Blackstock - info@goyouths.org IP 74.108.125.27