Peachtree Road United Methodist Church - Department of Sports and Recreation

WAIVER OF LIABILITY AND RELEASE

I recognize that there are inherent risks involved in sports and fitness activities. In consideration of the services provided, I hereby release and hold harmless, Peachtree Road United Methodist Church and its Department of Sports, Recreation and Life Enrichment, The Lovett School, Christ the King, Georgia Breakers, Inc., and their officers, directors, employees, and agents from any and all liability for injuries, including those resulting in death, and illnesses incurred while participating or attending any event or in any facility of Peachtree Road United Methodist Church, The Lovett School, Christ the King, including, but not limited to, participation in the Georgia Breakers Fall League. By signing this document, the participant or legal guardian confirms that he or she has authority to sign, has read the entire document, and has understanding that the document waives certain rights of the person signing or the participant.

 

Player  Name (Please print) Parent / Guardian Name (Please Print) Parent/Guardian Signature Date
       

Team Name:__________________________, Age Group: _______________________

Print for each player and submit with roster