GPHQ Doctor Soccer Carnival— Waiver of Liability and Release Form
This form must be completed for each soccer player participating at the GPHQ 2021 WA Doctor Soccer Carnival at Nedlands on the 6th of November 2021.
No player, or other Club program participant, will be allowed to participate in Club, (xxx) league or (xxx) tournament games without this form, properly executed, and on file.
I am voluntarily participating in this organised soccer event, and do hereby willfully acknowledge that by me ticking the box and typing my name below attests to my understanding and agreement that:
I will not compromise myself in such a way as to do harm to the tournament/carnival, knowing that players may be dismissed from participation, for violent conduct or unsportsmanlike behaviour on or off the field of play. I agree to pay for any and all damages to any property or indemnities caused by me willfully, negligently, or otherwise.
Soccer is a physical, contact, sport that involves the risk of injury. I assume all risks and hazards associated with my participation in the sport. I am in proper physical condition to participate in these soccer games and have no illness, disease or existing injury or physical defect that would be aggravated by my participation. I further acknowledge that this risk may involve loss or damage to me or my property, including the risk of death, or other unforeseen consequences, including those which may be due to the unavailability of immediate emergency medical care.
I will wear shinguards, properly-fitted and appropriate shoes, and other protective equipment as required.
The tournament does not have personal injury insurance that covers my participation. Under any condition, I am responsible for any and all medical expenses arising from my participation. I have the right and responsibility to inspect the equipment and facilities prior to events and, if I believe that anything may be unsafe, I will advise the organisers of the condition and may refuse to participate.
Participation assumes consent.
I authorise my photograph, picture or likeness to appear in any promotion (including advertising), without compensation.
I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue, GPHQ, volunteers, sponsors and other agents, estates or executors, from any and all liability incurred in the conduct of, and my participation in, this GPHQ doctor soccer carnival. This includes owners, lessors, and lessees of premises.
I have completely read this document and fully understand its contents. I acknowledge that I have given up substantial rights by accepting this document and that I do so voluntarily. Ticking the box and typing my name attests to this on behalf of myself and my executors, personal representatives, administrators, heirs, next-of-kin, successors, and assigns.