Please print a copy of this form, fill out the data, sign it, and submit it with first deposit 

 Team/Group   Name____________________               Coach/Patron  Name_______________________ 

Home Phone____________Work phone ___________ Cell phone ___________

Address _______________ City __________________ State______ Zip____

 Email ___________________       Coach/Patron   Signature____________________ Date___________

   I.   Assumption of Risk:

Release and Waiver of Liability, Assumption of Risk, and Indemnity and Parental Consent Agreement

In Consideration of being permitted to participate in any way in the Sports World activity I, for myself for personal representatives, assigns, heirs, and next of kin:

1. Acknowledge, agree, and represent that I understand the nature of Sports World Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions to be unsafe; I will immediately discontinue further participation in the Activity.

2. Fully understand that: (a) Sports World activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death (“Risks”); (b) these risks and dangers may be caused by my own actions or inaction’s the actions or inaction’s of others participating in the Activity, the condition in which the Activity takes place, or the Negligence of the “Releasees” named below; (c) there may be Other Risk and Social and Economic Losses either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses and costs, and damages I incur as a result of my participation or that of the minor in the Activity.

3. Hereby Release, Discharge, and covenant not to sue Sports World, their respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owner and lessors of premises on which the Activity takes place, each considered one of the “releases” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES” OR OTHER WISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I FURTHER AGREE that if, despite this release and waiver of liability assumption of risk, and indemnity agreement I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim.

I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and without inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect. MINOR RELEASE And I, the Minor’s parent and or legal guardian, understand and the nature of Sports World activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health and in proper physical condition to participate in such activity, I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasee’s from all liability claims, demands, losses, or damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue operation and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of releasees named above, I will indemnity, save, and hold harmless each of the realeasees from any litigation expenses, attorney fees, loss liability, damage, or cost any may incur as the result of any such claim.

    II.   Conditions of Participation:

1.  CANCELLATION: Should you wish to cancel this reservation, notice of cancellation MUST BE IN WRITING AND RECEIVED MORE THAN 90 DAYS in advance of the first game.  In the event of cancellation more than 90 days in advance, we will refund the sums you have paid, less a $250 cancellation fee or if the sum you have paid is less than $250, the full amount the sums paid will be the cancellation fee. If your notice of cancellation is RECEIVED LESS THAN 90 DAYS PRIOR TO YOUR CHECK IN DATE, you will forfeit all sums paid. However, if we are able to rent the field in that time slot, we will only charge the above applicable cancellation fee.

2.  If a game is cancelled because Sports World is closed due to bad weather, we will reschedule the game at another time (no refund). 

3.  PROPER BEHAVIOR IS REQUIRED AT THE FACILITY, particularly with regard to the players, coaches, and officials.  Individuals will be asked to leave the premises if their BEHAVIOR is IMPROPER.

  III.   Signatures:

No player will be allowed to participate until signature is obtained and this form received by Sports World.