RELEASE OF LIABILITY FOR MINOR PARTICIPANTS
IN CONSIDERATION OF my child/ward being allowed to Name Of Minor Child/Ward participate in any
way in the FD Patriots Youth Football related events and activities, the undersigned acknowledges,
appreciates, and agrees that:
The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) to
my child from the activities involved in these programs are significant, including the potential for
permanent disability and death, and while particular rules, equipment, and personal discipline may reduce
these risks, the risks of serious injury and illness do exist; and,
1. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS,
both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or
others, and assume full responsibility for my child’s participation; and,
2. I willingly agree to comply with the program’s stated and customary terms and conditions for
participation. If I observe any unusual significant concern in my child’s readiness for participation
and/or in the program itself, I will remove my child from the participation and bring such attention of
the nearest official immediately; and,
3. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and
next of kin, HEREBY RELEASE AND HOLD HARMLESS FD Patriots Youth Football ; its directors,
officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors,
advertisers, and if applicable, owners and lessors of premises used to conduct the event
(“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or
loss or damage to person or property incident to my child’s involvement or participation in these
programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE, to the fullest extent permitted by law.
4. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives
and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any
and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING
FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
5. I, the parent/guardian, assert that I have explained to my child/ward: the risks of the activity, his/her
responsibilities for adhering to the rules and regulations, and that my child/ward understands this
agreement.
I, FOR MYSELF, MY SPOUSE, AND CHILD/WARD, HAVE READ THIS RELEASE OF LIABILITY AND
ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE
HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND
VOLUNTARILY WITHOUT ANY INDUCEMENT.
Name of Child/Ward: _______________________________________
Name of Parent/Guardian: _______________________________
Parent/Guardian Signature: __________________________________
Date Signed:___________________________________