Full Count Giants

Subscribe to our Newsletter

Spring 2021 Registrastoin

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

Email:

Gender:

Grade:

* Aau membership:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

EMail:

Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

Waiver/Release for Communicable Diseases including COVID-19
Assumption of Risk/ Waiver of Liability/ Indemnification Agreement

In consideration of being allowed to participate on behalf of FULL COUNT GIANTS athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

Participation includes possible exposure to an illness from infectious diseases including but not limited MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduces this risk, the risk of serious illness and death does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, i willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If. however, i observe and any unusual or significant hazard during my presence or participation, i will remove myself from participation and bring such to the attention of the nearest official immediately; and,
i, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Full Count Giants their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event("RELEASEES"), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING(AGREEING) IT AND SIGN(AGREE) IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT

FOR PARTICIPANTS OF MINORITY AGE(UNDER AGE OF 18AT THE TIME OF REGISTRATION)

This is to certify that, i as parent/guardian, with legal responsibility for this participant, have read and explained provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules an regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. i for myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child's/ward's presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

I/we agree with the above *

* indicates required fields

OUR SERVICES

LOCAL SPORTS

ELITE

Spring 2021 Registrastoin