2023-2024 Medical Waiver | nextlevelfieldhockey

RELEASE AND WAIVER OF LIABILITY AGREEMENT: I hereby release and discharge NEXT LEVEL FIELD HOCKEY CLUB, its agents, employees, staff members, directors, and officers from any claims, responsibilities or liabilities for injuries or harm incurred as a consequence of my involvement as a coach, a player or spectator during my participation. I fully understand that these activities involve risks and dangers of serious bodily injury. These risks and dangers may be caused by my own actions or by the actions of others participating in the activity, the condition in which the activity takes place, or the negligence and/or intentional conduct of the participant named above; 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, known and unknown, and all responsibility for losses, costs (including but not limited to attorney's fees), and damages incurred as a result of my participation in the activity. I authorize NEXT LEVEL FIELD HOCKEY CLUB, its agents, employees, staff members, directors and officers to take whatever action is necessary, in their best judgment, in an emergency and I hereby release and discharge NEXT LEVEL FIELD HOCKEY CLUB, its agents, employees, staff members, directors and officers from any responsibility or liability related thereto. I hereby grant NEXT LEVEL FIELD HOCKEY CLUB, permission and authorization to administer proper treatment for the participant. I certify that the participant is in good health and able to participate in all training activities. I give permission to use my name, picture and/or likeness in any printed media or any form of advertisement. I fully renounce any and all claims upon NEXT LEVEL FIELD HOCKEY CLUB for reimbursement for use of this material.

Next Level Field Hockey Club
2023-2024
Medical Waiver

Please fill out one form per participant. This form must be completed prior to your athlete's participation in a Next Level Field Hockey Club event.

Next Level Field Hockey Club 2023-2024 Medical Waiver

Please fill out one form per participant. This form must be completed prior to your athlete's participation in a Next Level Field Hockey Club event.

Next Level Field Hockey Club
2023-2024
Medical Waiver