Ohio Extreme - Player Registration

Thank you for registering for Ohio Extreme Soccer Club.  

EMERGENCY AUTHORIZATION:  By registerting for this program, I, the undersigned parent or legal guardian of the above player, a minor, hereby authorize the coaches and/or Ohio Extreme SC officials to act as my agents in the capacity of activity supervisors and vehicle drivers, and to consent to medical, surgical, or dental examination and/or treatment.  DISCLAIMER, ASSUMPTION OF RISK, AND WAIVER:  I, the undersigned parent or legal guardian of the above player, a minor, acknowledge that participation in soccer involves risk of severe, permanent physical injury, and death.  For myself, and on behalf of the above player, we willingly and voluntarily accept and assume all such risk.  In consideration of permitting the voluntary participation of the above-named participant in this tryout program, for myself and on behalf of the above player, I hereby release, discharge and agree to hold harmless Ohio Extreme SC, its employees, volunteers, officials, sponsors, and other representatives from any and all claims, demands, costs, expenses, and compensation arising out of or in any way related to an injury or other damage that may result to said participant white participating in any Ohio Extreme SC sponsored event, including any physical or other injury caused by the negligence of any such person while performing his/her duties at any time.  I HAVE READ THE ABOVE EMERGENCY AUTHORIZATION, DISCLAIMER, ASSUMPTION OF RISK, AND WAIVER AND FULLY UNDERSTAND THE TERMS OF EACH.  I UNDERSTAND THAT I AND THE ABOVE PLAYER HAVE GIVEN UP SUBSTANTIAL RIGHTS BY MY SIGNING THIS FORM AND AGREEING TO THESE TERMS, AND I SIGN THIS FORM AND AGREE TO THESE TERMS FREELY AND VOLUNTARILY AND WITHOUT INDUCEMENT FOR MYSELF AND ON BEHALF OF THE ABOVE.


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