Waiver Signature

    COLLEGEVILLE SPORTS ACADEMY (CSA)
    ADULT PARTICIPANT (INCLUDING COACHES) WAIVER & RELEASE FORM


    In order that I be allowed to participate in any activities at Collegeville Sports Academy (CSA), I agree to all of the terms of this Waiver. I have the authority to enter this Waiver on behalf of myself. This waiver covers my activities at CSA at any time, during calendar years 2021-2022, and in the future beyond calendar year 2022.

    The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19
    is extremely contagious and is believed to spread mainly from person-to-person contact from being in close proximity with
    others. As a result, federal, state and local governments and federal and state health agencies recommend social
    distancing and have, in many locations, prohibited the congregation of groups of people. CSA and its employees cannot
    guarantee that you, your player, or others associated with you will not become infected with COVID-19 (or any illness). By signing this agreement, you acknowledge on behalf of yourself, your player(s), your family, and anyone else connected to you the contagious nature of COVID-19 and voluntarily assume the risk for all involved of being exposed to or infected by COVID-19 (or any illness), and that such exposure or infection may result in personal injury, illness, permanent disability and death. You understand that there is risk of becoming exposed to or infected by COVID-19 (or another illness). You understand and agree that this release includes any claims based on the actions, omissions, or negligence of CSA and is employees and anyone else associated with CSA, whether a COVID-19 infection (or other infection) occurs before, during or after participating in any activities on CSA’s premises or otherwise associated with CSA.

    In consideration of the request and permission to participate in any activities at CSA, I hereby agree on my own behalf, to release and forever discharge CSA, as well as its owners, agents, employees, heirs and executors from any and all liability for injuries, death or property damage, arising or resulting from or in any other way connected to my participation. The terms of this waiver apply to myself, my children, our heirs, executors, administrators, assigns, successors, spouse, personal representatives, agents, legatees, other parents, and all family members. I agree that this Waiver shall cover my participation in any and all activities, including but not limited to, practice or instructional sessions, and any activity taught by the coaches, league representatives or other instructors or agents.

    I agree to indemnify CSA, and hold CSA harmless, from any and all liability (including attorney’s fees whether paid directly or indirectly) arising out of, whether directly or indirectly, my involvement or participation in activities.

    I give authority to CSA to obtain on my behalf in any emergency treatment. In case of sickness, accident, illness or injury CSA has my express permission to secure, at my express, such medical attention as is deemed necessary in the sole
    discretion of CSA.

    Collegeville Sports Academy (CSA) has my permission to use my or my child’s photograph publicly to promote the
    facility. This waiver gives CSA permission to use photographs and/or video recordings of any events that takes place on
    CSA property. I understand that the images may be used in print publications, online publications, presentations,
    websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by
    reason of such use. I waive the right to approve the final product. I agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof, and all plates, negatives, recording tape and digital files are and shall remain the property of CSA. I hereby release, acquit and forever discharge CSA from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation.


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