In consideration for being allowed to voluntarily participate in the above-referenced activity, on behalf of the participant, the participant’s personal representatives, heirs, next of kin, successors and assigns, the undersigned or
undersigned parent and/or legal guardian
a. waives, releases, and discharges Westside Cardinals Youth Football League, its members
individually, its agencies, officers, and employees from any and all negligence and liability for the participant’s death, disability,
personal injury, property damages, property theft or claims of any nature which may hereafter accrue to the participant, and the
participant’s estate as a direct or indirect result of participation in the above-referenced activity or event; and
b. indemnifies, saves, and holds harmless Westside Cardinals Youth Football League, its members
individually, its agencies, officers, and employees of, from and against any and all claims of any nature including all costs, expenses,
and fees arising out of or resulting from the participant’s actions during this activity or event.
I also acknowledge that persons employed by the Released Parties may take photographs and/or videos of my participation and allow
the use of these materials on behalf of the University without limitation or compensation including the release of my and/or my child’s
I, the undersigned (including parent and/or legal guardian for participants under the age of 18), affirm that I am freely signing this
agreement. I have read this form and fully understand that by signing this form I am giving up legal rights and/or remedies which
may otherwise be available to the minor participant regarding any losses the participant may sustain as a result of participation in the
activity. I agree that if any portion is held invalid, the remainder will continue in full legal force and effect.
I do hereby state that I have legal custody of the aforementioned Minor. I grant my authorization and consent for Westside Cardinals Athletic League (hereafter “Designated Adult”) to administer general first aid treatment for any minor injuries or illnesses experienced by the Minor. If the injury or illness is life-threatening or in need of emergency treatment, I authorize the Designated Adult to summon any and all professional emergency personnel to attend, transport, and treat the minor and to issue consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur. I agree to assume financial responsibility for all expenses of such care. It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and
power on the part of the Designated Adult in the exercise of his or her best judgment upon the advice of any such medical or emergency personnel.