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Personal Information and Waiver Form

This document is a Minor Player Registration and Consent & Liability Waiver Form for participants under 18 years old. It requires personal details of the minor and their parent/guardian, and outlines the assumption of risk, release of liability, medical authorization, and code of conduct. The parent/guardian must sign to acknowledge understanding and agreement to the terms stated in the form.

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Faze Sensei
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0% found this document useful (0 votes)
55 views3 pages

Personal Information and Waiver Form

This document is a Minor Player Registration and Consent & Liability Waiver Form for participants under 18 years old. It requires personal details of the minor and their parent/guardian, and outlines the assumption of risk, release of liability, medical authorization, and code of conduct. The parent/guardian must sign to acknowledge understanding and agreement to the terms stated in the form.

Uploaded by

Faze Sensei
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Minor Player Registration,

Consent & Liability Waiver Form


For Participants Under the Age of 18

Full Legal Name of Minor Participant:


____________________________________

Date of Birth (DD/MM/YYYY): ____________ Age: ____________

Team Name (if applicable):


_____________________________________________

Position: ____________________________ Jersey Number: _______________

Height: _____________ Weight: _____________ Gender: ___________

Nationality:
__________________________________________________________

Parent/Guardian Full Name:


_____________________________________________

Primary Contact Number: _____________________​


Email Address: __________________________________

Emergency Contact (if different): _____________________​


Phone: _____________________

Known Medical Conditions or Allergies:


Section 2: Assumption of Risk, Release, and Waiver of Liability

In consideration of the minor child being permitted to participate in any and all
activities organized, operated, or sponsored by the above-mentioned league or
organization (hereinafter referred to as the “League”), the undersigned parent or
legal guardian acknowledges and agrees to the following terms on behalf of
themselves and the minor child:

1.​ Assumption of Risk: I am fully aware that participation in sports involves


inherent risks, including but not limited to bodily injury, illness, permanent
disability, or death. I voluntarily assume all such risks, whether foreseen or
unforeseen, related to participation in League activities, including but not
limited to practices, games, travel, or events.​

2.​ Release of Liability: I, on behalf of myself, my child, and our respective


heirs, assigns, personal representatives, and next of kin, do hereby release,
waive, discharge, and hold harmless the League, its directors, officers,
agents, employees, coaches, volunteers, sponsors, affiliates, and any facility
used by the League from any and all liability, claims, demands, causes of
action, or damages arising out of or in connection with participation in League
activities, whether arising from negligence or otherwise.​

3.​ Medical Authorization: I hereby authorize the League and its


representatives to seek emergency medical treatment for my child in the
event that I cannot be reached in a timely manner. I accept full financial
responsibility for any medical treatment deemed necessary.​

4.​ Code of Conduct: I acknowledge that my child is expected to abide by the


rules, regulations, and code of conduct established by the League. I
understand that failure to comply may result in disciplinary action, including
suspension or dismissal from participation.​

5.​ Photographic & Media Consent (Optional – check if agreed):​


☐ I grant the League permission to use photographs or video of my child
taken during official activities for promotional, educational, or informational
purposes.​
Section 3: Consent and Acknowledgment

By signing below, I affirm that I am the legal parent or guardian of the minor named
above and that I have read, understood, and voluntarily agreed to all terms of this
release and waiver. I confirm that the information provided is true and accurate to the
best of my knowledge.

Parent/Guardian Acknowledgment

Printed Name of Parent/Guardian:


________________________________________

Signature of Parent/Guardian:
____________________________________________

Date: ___________________________

Minor Participant Acknowledgment (if age-appropriate)

Printed Name of Minor:


_________________________________________________

Signature of Minor: _______________________________ Date: ___________

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