WAIVER, RELEASE, AND ASSUMPTION OF RISK
East Bay Men’s Soccer League
Adult Soccer Registration Form, Spring/Summer 2010
In consideration of the acceptance of my registration for entry in the East Bay Men’s Soccer League (EBMSL), I
HEREBY WAIVE, RELEASE, AND DISCHARGE, AND ASSUME THE RISK FOR ANY AND ALL CLAIMS FOR DAMAGES
FOR DEATH, PERSONAL INJURY OR PROPERTY DAMAGE WHICH I, MY HEIRS, EXECUTORS, ADMINISTRATORS OR
ASSIGNS, MAY HAVE, OR WHICH MAY HEREAFTER ACCRUE TO ME, MY HEIRS, EXECUTORS, ADMINISTORS OR
ASSIGNS AS A RESULT OF MY PARTICIPATION IN SAID LEAGUE, INCLUDING TRAVELING TO AND FROM GAMES.
This release is intended to discharge in advance the EBMSL officers, League Members, City of Livermore, Livermore
Area Recreation & Park District (LARPD), its Council, officials, employees, commissioners, or its agents, from and
against any and all liability arising out of negligence or carelessness on the part of the persons and/or entities
mentioned above. Furthermore, I waive the protection afforded by any statute or law in any jurisdiction (e.g., California
Civil Code S1542) whose purpose, substance and/or effect is to provide that a general release shall not extend to
claims, materials or otherwise, which the person giving the release does not know or suspect to exist at the time of
executing the release.
I attest that I am physically fit for play in the EBMSL. I further understand that serious accidents occasionally occur
during soccer matches and that participants in soccer matches occasionally sustain mortal, serious personal injuries
such as, but not limited to, injuries and/or property damage as a consequence thereof. Knowing these risks of playing
soccer, nevertheless, I hereby agree to assume those risks and to release and hold harmless all of the persons or
entities stated above who (through negligence or carelessness) might otherwise be liable to me (or my heirs, executors,
administrators, or assigns) for damages.
I agree to accept and abide by the rules and regulations set by the East Bay Men’s Soccer League.
I have read and understand everything written above. My signature confirms my full acceptance of the terms stated in
this document.
Team: __________________ Division________________
Please Check One:
New to EBMSL? _______
Returning Player? _______
Printed Name: ______________________________Birthdate: ______________________
(All Players Must be 18 or Over with proper ID if requested)
Address: __________________________________________________________________
City: _____________________________Zip: ___________Phone: _____________________