WAIVER, RELEASE, AND ASSUMPTION OF LIABILITY
In consideration of participating in recreational flag football and utilizing the facilities of the Town of
Holbrook as well as the facilities of local participating towns, The Holbrook Youth Flag Football League
(“Releasees”), related events and activities, including without limitation any training sessions, clinics,
practices, games or other activities of any description at any location, the undersigned acknowledges,
appreciates, and agrees that:
1. The risk of injury and/or illness from the activities involved in the program is significant, including the
potential for permanent paralysis and death, and while particular rules, equipment, and personal
discipline may reduce the risk, the risk of serious injury does exist;
2. The risk to have contact with individuals, who have been exposed to and/or have been diagnosed
with one or more communicable diseases, including but not limited to COVID-19 or other medical
conditions, diseases, or maladies does exist, and it is impossible to eliminate the risk that I could be
exposed to and/or become infected through contact with or close proximity with an individual with a
communicable disease;
3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING
FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume all full responsibility for my own
participation and, if applicable, the participation of any individual to whom I am parent or guardian. I
specifically acknowledge the contagious nature of COVID-19 and similar contagions, voluntarily assume
the risks that I may be exposed to or infected by participating in The Holbrook Youth Flag Football
League and understand that such exposure or infection may result in personal injury, illness, permanent
disability, and death;
4. I willingly agree to comply with not only the stated and customary terms and conditions for
participation in The Holbrook Youth Flag Football League but also with any suggested or mandatory best
practices, guidelines and other measures that may be imposed by government authorities and/or The
Holbrook Youth Flag Football League. If, however, I observe any unusual significant hazard during my
presence or participation, I will remove myself and those for whom I am responsible from participation
and bring such to the attention of The Holbrook Youth Flag Football League immediately;
5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY
RELEASE AND HOLD HARMLESS THE HOLBROOK FLAG FOOTBALL LEAGUE, their officers, officials,
agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if
applicable, owners and lessors of the premises used to conduct the event ("Releasees"), WITH RESPECT
TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, loss or damage to person or property, including
all liabilities, actions, damages, costs or expenses of any kind, WHETHER ARISING FROM THE
NEGLIGENCE OF THE RELEASEES OR OTHERWISE;
6. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT AND
ACKNOWLEDGE BY SIGNING BELOW THAT I FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE
GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT ON MY OWN BEHALF OR ON BEHALF OF THE YOUTH
PARTICIPANT TO WHOM I AM PARENT OR GUARDIAN, AND I SIGN IT FREELY AND VOLUNTARILY
WITHOUT ANY INDUCEMENT. ACKNOWLEDGEMENT BY ADULT PARTICIPANT:
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By acknowledging and signing below, I agree and verify the following:
1) I understand, consent and agree to assume the risks of participation in ALL activities conducted by
The Holbrook Youth Flag Football League;
2) that I specifically agree to the release as provided herein of all the Releasees, and, for myself, my
heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities
incident to my involvement or participation in The Holbrook Youth Flag Football League EVEN IF
ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. ACKNOWLEDGMENT BY
PARENTS AND/OR LEGAL GUARDIANS OF YOUTH PARTICIPANTS:
By signing under my own free will, I agree to and verify the following:
1) I am the parent or legal guardian for the youth participant as listed below;
2) that the date of birth of the youth participant associated with this guardian account is correct;
3) that as parent/legal guardian with legal responsibility for this youth participant, I consent and agree
to assume the risks of his/her participation in these programs; and
4) that I specifically agree to his/her release as provided herein of all the Releasees, and, for myself, my
heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities
incident to this youth participant's involvement or participation in The Holbrook Youth Flag Football
League as provided in this WAIVER, RELEASE, AND ASSUMPTION OF LIABILITY as outlined by The
Holbrook Youth Flag Football League EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE.
________________________ ________________________
Signature of Adult Participant (Coaches) Date
_____________________
Print Name
Signed as an individual and as parent or legal guardian of: (Players)
__________________________ _________________________
Youth Participant Date of Birth
______________________________
Signature of Parent or Legal Guardian
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