Inola Youth Football

WAIVER OF LIABILITY, MEDICAL RELEASE, AND INDEMNIFICATION AGREEMENT

 

 

I hereby voluntarily permit my child,                                                            , to participate in the

                                                                       (Please Print Child’s Name)

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Inola Youth Football's youth tackle football program.

 

I UNDERSTAND AND FULLY ACCEPT THAT THERE ARE RISKS INVOLVED IN SPORTS, AND THAT ACCIDENTS AND INJURIES ARE COMMON AND ARE ORDINARY OCCURRENCES OF SPORTS. I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH, AND VERYIFY THIS STATEMENT BY PLACING MY INITIALS HERE.

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Initial Here

 

As consideration for being permitted by Inola Youth Football to participate in this activity, I hereby release and hold harmless Inola Youth Football, volunteers, designated coaches, and program officials and supervisors from all liability, and from all actions or claims that I or my child now or hereafter have for damage or injury to my child, or to any person or property, resulting from the negligence or other acts of any employees or volunteers in connection with my child’s participation. I further agree that this waiver, release and assumption of risks are to be binding on the heirs and assigns of the undersigned.

 

I further agree to indemnify and to hold Inola Youth Football (its officers, employees, agents and volunteers) free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of any injury and/or property damage that I or my child may cause or sustain while participating in this activity.

 

In case of a medical emergency, I hereby give permission to Inola Youth Football and Volunteers to order treatment for my child, including any necessary medical treatment and x-rays. I also hereby give permission to Inola Youth Football and Volunteers to disclose the information contained on the Emergency Medical Card to medical personnel. I understand that an attempt will be made to reach me by phone when a diagnosis is completed. I agree to pay all medical, hospital, or other expenses which my child or I may incur as a result of such treatment.

 

Inola Youth Football does not disclose your nonpublic personal medical and financial information, except as required or permitted by law. Inola Youth Football also does not provide any medical or other insurance protection.

 

I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND INOLA YOUTH FOOTBALL AND SIGN IT OF MY

OWN FREE WILL.