build a web site | fundraising | community | collect fees online | blogz

Old Mans Soccer Association (OMSA)

Old Mans Soccer Association (OMSA):Waiver Form  
 
 
Home Home
My Site News My Site News
Events Events
Schedules Schedules
Standings Standings
Teams Teams
Divisions Divisions
Locations Locations
Board Board
Albums Albums
Handouts Handouts
Links Links
Sponsors Sponsors
Guestbook Guestbook
Message Boards Message Boards
Info Info
History History
Rules Rules
Meetings Meetings
Waiver Form Waiver Form
Past Records Past Records
Gear & Apparel Gear & Apparel
Support Our Team Support Our Team

Admin

Get Directions to Old Mans Soccer Association (OMSA)Round Rock Local Weather
Old Mans Soccer Association (OMSA)
Guy Waterman
930 Luther Peterson Place
Luther Peterson Athletic Fields
Round Rock, Texas
78664
 
  Waiver Form  
 

OMSA Waiver
OMSA Waiver


Player Name:_____________________________
Birth Date:__________________________
Team:___________________________________


  1. Risks: I understand the nature and physical demands of soccer. I have made the OMSA aware of
        any and all medical and physical conditions which might affect my participation or otherwise might
        limit my participation. I understand that reasonable procedures are employed by the OMSA, but that
        unforeseen cirumstances of accidental events may occur, for which the OMSA, their officers, agents,
        volunteers and representatives, and employees cannot be held responsible. I hereby assume all
        ordinary risks normally incidental to the nature of Soccer, including those risks which are not
        foreseeable.

  2. Release: I unconditionally waive and release OMSA, their officers, agents, volunteers and
        employees from any and all claim, rights or causes of action which I now have or may have in the
        future for any injuries, expenses, loss of compensation, loss of service, or other damages (general
        specific of damages to personal property) which I may experience as a direct or indirect result of the
        use the services, facilities, instruction or premisis of the OMSA, or as a direct or indirect result of my
        participation in Soccer, or from any negligence on the part of the OMSA, including any act or failure
        to act.

  3. Indemnification: I unconditionally promise and agree to indemnify the OMSA and their officers,
        agents, volunteers and employees and to hold said persons harmless from any and all claims, rights or
        causes of action which may be asserted against the OMSA, their officers, agents, volunteers or
        employees by any person as a result of my participation in Soccer or as a result of any injuries,
        expenses, loss of compensation, loss of experience as a direct result or indirect results of the use of
        the services, facilities, instructor or premises of the OMSA, or from any negligence on the part of the
        OMSA including any actor failure to act.

  4. Medical Accident Coverage: I have been informed and am aware that the OMSA does not have
        in force an insurance policy to provide insurance against MEDICAL AND HOSPITALIZATION
        COSTS which are incurred as the result of injuries incurred by me while engaging in Soccer. I
        understand medical coverage is only my own medical and hospitalization insurance.

  5. No Liability Insurance: I have been informed and am aware that the OMSA does not provide, nor
        am I covered by, any policy of liability insurance which would otherwise serve to compensate me in
        the event of an injury, expense, loss of compensation, loss of service, facilities, instruction or premises
        of the OMSA, or from any negligence on the part of the OMSA, their officers, agents, volunteers, or
        employees, including any act or failure to act.

  6. Binding Effect: This agreement is binding upon me and upon my heirs, assigns, dependents,
        personal representatives, attorney, and my estate. This agreement is also binding upon me, on whose
        behalf it is executed and upon any legal guardian thereof.

  7. Entire Agreement: This document constitutes the entire agreement between the OMSA and the
        undersigned regarding the subjects covered hereby. All previous agreements, oral or written are
        suspended and there exist no further oral or written representations, promises, assurances, or
        statements of any kind affecting this agreement except those which are expressly set forth in this
        document. I acknowledge that we have read this entire document, that I fully understand its meaning
        and contents and the rights we are relinquishing are true and correct, and that the contents are true
        and correct, and that I am executing this document the full knowledge and understanding of its effect.


    Player Signature/Date:__________________________________________________________
    Team Manager/Date:___________________________________________________________
    Registrar:_____________________________________________________________________


   
Old Mans Soccer Association (OMSA)
Old Mans Soccer Association (OMSA)
View Our Guestbook | Sign Our Guestbook
2 visitors have signed our guestbook.

 
 
 
  Web Sites Instruction Community
  Local Sites
Spotlight Sites
Build a Web Site
Tips and Drills
Sport Tip Email
Customer Support
News & Updates
Bulletin Boards
Camps & Clinics
Tournaments
Coaches' Corner


   
"Genius is one percent inspiration and ninety-nine percent perspiration." - Thomas Alva Edison
   
Copyright © 2014, eteamz.com, Inc
User Agreement