Name / Guardian *

First Name

Last Name

Minor 1 (if applicable)

First Name

Last Name

Minor 2 (if applicable)

First Name

Last Name

Minor 3 (if applicable)

First Name

Last Name

Minor 4 (if applicable)

First Name

Last Name

Release and Waiver of Liability and Indemnity *

I hereby acknowledge and agree that participating in a soccer tournament may involve risk of injury to persons or property including those described below and participant(s) assumes full responsibility from such risks. In consideration of being permitted to participate in the tournament, participant(s) agrees to the following: Participant(s) hereby releases, acquits, and forever discharges The Field Fund, Inc., The Town of West Tisbury and The West Tisbury School of its officers, directors, employees, successors, and all other persons, firms, corporations, associations or partnerships for loss or damage and forever gives up any claim or demand therefore or account of injury to participant(s) personal property including injury leading to death or participant(s) whether it caused by the active or passive negligence of The Field Fund, Inc., The Town of West Tisbury and The West Tisbury School or otherwise to the fullest extent permitted by law while participant(s) is in, upon, or about the premises of The West Tisbury School, 401 Old County Road, West Tisbury, MA 02575 and the Town of West Tisbury’s field. I represent that participant(s) is in good physical condition and have no disability, illness, or other condition that would prevent participant(s) from exercising without injury or impairment of health. This participant(s) acknowledges they have consulted a doctor concerning an exercise program that will not risk injury to the participant(s) or impairment of participant's(s) health. Such risk of injury includes but is not limited to injuries arising from participation in supervised or unsupervised soccer activities. Participant(s) further agrees that the foregoing release, waiver, and indemnity agreement in intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Massachusetts and if any portion thereof is held invalid it is agreed that the balance shall not withstanding continue in full force and effect. Further, I grant permission to all the foregoing to use participant's(s) name, voice and images of themselves in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes. By checking "agree", I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them. All other information is voluntary and will be kept strictly confidential.

Agree

By selecting the box below, you are indicating that you are the parent/guardian of the person you are about to register.

Agree