Form - ALAS of Texas

M AY 2 ND 2 0 1 5
FIRST ANNUAL
2015 | Mount Pleasant, TX
SOCCER TOURNAMENT
INDIVIDUAL WAIVER
Your participation will help students in our community
reap the benefits of education and have a chance at
a better future. All proceeds from this event will
benefit Northeast Texas Community College
Scholarship Foundation
EVERY PLAYER MUST HAVE A SIGNED WAIVER BEFORE HE WILL BE PERMITTED TO PLAY.
Team Name
Player Full Name
Age of Participant
Contact Name
Contact Phone
Contact Email
T-shirt Size:
Date of Birth
Youth
S M L
S
M
Adult
L XL
__XL
2015 ALAS Cinco de Mayo Soccer Tournament Voluntary Waiver and Release Agreement is enforced. READ BELOW
I, ______________________________ (the “Participant”) desire to voluntarily participate in the 2015 ALAS Cinco de Mayo Soccer Tournament
(the “Event”). This Voluntary Waiver and Release Agreement (”Agreement”) is hereby executed by the undersigned, or if the
undersigned is under the age of 18 years, the undersigned’s parent or legal guardian. I understand the risk, hazards and potential
dangers involved in participating in the Event, and after careful consideration of the risks and with full knowledge of the potential
dangers, I have voluntarily decided to participate in the Event and assume all risks associated with my participation. I understand
that I am not required to participate. The Participant expressly and unconditionally assumes all risks and dangers known or
unknown, foreseen or unforeseen, and relating or incidental to participant’s involvement in the Event and any activity associated
therewith. The Participant hereby releases, forever discharges and holds harmless the organizers (ALAS) from and against any and
all claims, damages, liabilities, costs and expenses, including, but not limited to death, personal injury or property damage of any
kind or nature, arising out of or relating to the Participant’s involvement in the Event and all activities associated therewith. The
Participant agrees that he/she derives a material benefit from the Event and/or the Participant’s involvement therein. By execution
of this Agreement, the Participant agrees and acknowledges that a strenuous activity, such as soccer, is potentially hazardous, and
the Participant hereby assumes all risks associated with playing in the Event, including, without limitation, falls, contact with other
participants, the effects of weather and the conditions of playing surfaces. I acknowledge that I am free of any mental or physical
condition, ailment, or injury (medical or otherwise) which would, in and of itself or in conjunction with any other circumstances,
including but not limited to those activities associated with the Event, (i) impair, prevent or prohibit the Participant from engaging
in such event or (ii) be affected, aggravated or worsen in any way as a result, directly or indirectly, or the Participant’s involvement
in such Event.
I have read, understand, and fully agree to the terms of this Agreement. I understand and confirm that by signing this Agreement I
have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress,
without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to a complete and
unconditional waiver and release of all liability to the full extent of the law. I am 18 years of age or older, or the parent or legal
guardian of the undersigned, and mentally competent to enter into this Agreement.
Signature:
C O N TA C T A N D I N F O R M AT I O N
For any questions please contact:
Julio Villarruel | 903.305-4671
ALAS
PO Box 2187
Mount Pleasant, TX 75456
Date:
B R O U G H T T O Y O U B Y:
&
City
of
MOUNT PLEASANT