Website Manager

Sports Blast Shelby County

Waiver Form

Release and Hold Harmless Waiver Form 2013-14.pdf


Release and Hold Harmless Waiver Form

I the undersigned parent/guardian for_________________________________________(Player) acknowledge and accept full responsibility for my child to participate in the athletic sport leagues at sports Blast Shelby County. I further acknowledge that there is a potential to be injured in athletic events associated with my child’s participation at Sports Blast Shelby County.

As the legal parent/guardian/participant, in registering at Sports Blast Shelby County, understand that in attending the soccer/football program and using the facilities does so at his/her/my own risk. Sports Blast Shelby County, Shelby County, AL, Shelby County Parks and Recreation Authority, All American Soccer Academy Inc. and its/their owners, employees and agents, shall not be liable for any damages whatsoever arising from any personal injury or property loss sustained by participant and his/her/my family in or about any programs on the premises. I acknowledge that I am aware of the risks inherent in participating in indoor soccer/football (both practice and competition); that indoor soccer/football is a physical sport which can require considerable running, starting, stopping and physical exertion; and could potentially lead to limb injuries; possible permanent disability and death. Participants assume full responsibility for all injuries and damages which may occur in or about any programs on the premises and he/she/I do hereby fully and forever release, discharge and hold harmless Sports Blast Shelby County, Shelby County, AL, Shelby County Parks and Recreation Authority, All American Soccer Academy Inc., all associated facilities and its/their owners, employees and agents from any and all claims, demands, damages, rights of action, present or future resulting from or arising out of any person's participation in any programs or use of its facilities. In addition, he/she/I agree(s) to follow the rules of play and conduct set by Sports Blast Shelby County. He/she/I understand(s) that failure to do so may result in suspension from participation. Also, he/she/I waive(s) all rights to any photos taken for use in any Sports Blast Shelby County publication. 

 

 

Signed:__________________________________________________ (Parent/ Legal Guardian)

 

 

Date:___________________________

 

 

 

Sports Blast   19220 Highway 280   Birmingham, Alabama   35242
www.sportsblastsc.com


Release and Hold Harmless Waiver Form 2013-14.pdf