2018 Excel Women's Play Day Registration/Waiver-2
Please complete this form to sign up for our upcoming Excel Women's Play Day on June 2nd at 11am. The event will be held at St. Nicholas Park (2260 Spring Park Rd.)
Day Phone Number
Are you in High School or Older?
Sports Participation Waiver
I am aware that all sport/activities involve risk, and that some are violent contact sports. I am aware that playing or participating in any sports/activities can be a dangerous activity involving MANY RISKS OF INJURY. I understand that the dangers and risks of participating sports/activities may include, but not limited to, death, serious neck and spinal injuries, which may result in complete or partial paralysis, brain damage, serious injury to virtually all internal organs, bones, joints, ligaments, muscles, tendons, and other aspects of the muscular and skeletal system, serious injury or impairment to other aspects of my body, general health, and well being. I understand that the dangers and risks of playing or participating in sports/activities may result not only in injury, but serious impairment of my future abilities to earn a living, to engage in other business, social, and recreational activities, and enjoy life.
Because of the danger of participating in sports/activities, I recognize the importance of following rules and regulations established by EXCEL CHURCH, and agree to obey such rules, regulations, and instructions. I acknowledge that I am in good physical condition and do not know of any condition or reason that I should not participate in sports/activities.
I RECOGNIZE and ACKNOWLEDGE THAT EXCEL CHURCH DOES NOT CARRY ANY TYPE OF ACCIDENT OR HEALTH INSURANCE POLICY ON THE PARTICIPANTS IN SPORTS/ ACTIVITIES. I ALSO RECOGNIZE THAT SPORTS INJURIES CAN BE CATASTROPHIC FOR THOSE WITHOUT PROPER MEDICAL COVERAGE.
I hereby recognize and assume all risks associated with participating in the sports/activities and release EXCEL CHURCH, its employees, agent representatives, and volunteers harmless from any and all obligations, liabilities, claims, demands, costs, and expenses, including attorney fees, or demands of any kind of nature whatsoever which may arise in connection with my participation in any sports/activities. The terms hereof serve as a release and assumption of risk for myself, my heirs, estate, executor, administrator, assignees, and for all members of the family.
I acknowledge that I have read the above and agree to its terms.
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