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Fall Football registration

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

PLAYER INFORMATION
Participant #1

Participant #2

Participant #3


WAIVER INFORMATION
Registration Agreement - Individual Team - Youth / Parent

I agree to abide by all rules, regulations, and by laws as set forth by Volusia Titans, their assigns, licensees and legal representatives. I represent that I am a parent/coach to the team and I agree and understand that all deposits and fees are non-refundable under all circumstances, except in the case of cancellation of the program.

Please understand that the Football equipment and uniforms are on LOAN and MUST BE RETURNED PROMPTLY AT THE END OF THE CURRENT PROGRAM'S YEAR. Also understand that replacement cost or repair cost of any lost or damaged equipment or uniforms resulting in neglect or misuse by the participant or other person(s) will be collected.

I HAVE READ THIS REGISTRATION AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Liability Release Waiver - Individual Team- Youth / Parent

In consideration of being allowed to participate in any way in Volusia Titans related events and activities, I acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. 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,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual 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,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next to kin, HEREBY RELEASE AND HOLD HARMLESS Volusia Titans, 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 INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

5. I willingly agree to comply with all rules and regulations set forth.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Model Release Waiver - Individual Team- Youth / Parent

I, do hereby give Volusia Titans, their assigns, licensees and legal representatives the irrevocable right to use both the participant and my picture, name, and likeness free of charge in any manner for any purpose without compensation to participant or me in all manners, for advertising, trade, or any other lawful purposes, and I waive any right to inspect or approve the finished product, including written copy, that may be created in connection therewith. I represent that I am a parent/legal guardian to the participant and I agree that the grant and release contained therein binds me and the minor to all of the terms.

I HAVE READ THIS MODEL RELEASE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT
 

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