2nd Annual Victor of the Valley
Football (Flag) Tournament - August 6, 2023
[Event is Over]
NBPS - SUMMER LEAGUE Waiver
NBPS SPONSORED- Football Liability Waiver
Liability Release Form
Must be signed by Parent, Guardian or Player (18 years of age or older) prior to participation.
I hereby release, indemnify and hold harmless Neck & Back Pain Specialists (referred to as NBPS on this document), including its owners, employees, volunteer workers, site, site staff, the City where the Event is to be held, and any and all other participating entities and agents and assigns, from any and all liability, damage, and claim of any nature whatsoever arising out of or in any way related to my/my child’s participation in the NBPS Event and all activities included therein. I understand that any NBPS EVENT participant who, in the sole discretion of NBPS does not abide by the rules, regulations and policies established by NBPS shall be subject to dismissal without reimbursement or recourse. Participating in any activity is an acceptance of some risk of injury. Despite precautions, accidents & injuries may occur and personal injury and/or loss or damage to personal property may occur as a result of participation in this Event. Therefore, I assume all risks and liabilities related to the activities of this Event and my/my child’s participation in the Event. Should it be necessary for my child to have medical treatment while participating in the Event, I do hereby authorize a representative of NBPS to consent to any medical treatment or care deemed reasonably necessary by medical personnel, and I further agree that I will be personally responsible for any costs associated with any and all medical treatment so rendered, and I will indemnify NBPS from any and all claims made for any such treatment rendered. I understand and agree that NBPS maintains the right to use photographs of any and/or all participants for publicity and advertisement purposes without compensation to any individual so depicted. By executing this document, I agree that I have read and understand the terms herein and further agree that I have freely and voluntarily executed this agreement with full knowledge of its force and effect. I expressly agree that this agreement shall be construed and enforced in accordance with the laws of the State of California, and I consent to the jurisdiction of said State. Any dispute, claim or controversy arising out of or relating to this agreement or the breach, termination, enforcement, interpretation or validity thereof, including the determination of the scope or applicability of this agreement to arbitrate, shall be determined by arbitration in the County of Orange before a single arbitrator. The arbitration shall be administered by Judicial Arbitration and Mediation Services (“JAMS”) pursuant to its Streamlined Arbitration Rules & Procedures. The arbitrator may allocate all or part of the costs of the arbitration, including the fees of the arbitrator and the reasonable attorneys’ fees of the prevailing party.
In consideration of being allowed to participate on behalf of NBPS and related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
2. 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 full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS NBPS , their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct events (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
5. By signing this waiver, I am acknowledging that I am not experiencing any of the following symptoms: loss of taste or smell, shortness of breath, fever, cough, headaches, and have not been in close contact with someone who has COVID.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
NBPS SPONSORED- Football Liability Waiver
Liability Release Form
Must be signed by Parent, Guardian or Player (18 years of age or older) prior to participation.
I hereby release, indemnify and hold harmless Neck & Back Pain Specialists (referred to as NBPS on this document), including its owners, employees, volunteer workers, site, site staff, the City where the Event is to be held, and any and all other participating entities and agents and assigns, from any and all liability, damage, and claim of any nature whatsoever arising out of or in any way related to my/my child’s participation in the NBPS Event and all activities included therein. I understand that any NBPS EVENT participant who, in the sole discretion of NBPS does not abide by the rules, regulations and policies established by NBPS shall be subject to dismissal without reimbursement or recourse. Participating in any activity is an acceptance of some risk of injury. Despite precautions, accidents & injuries may occur and personal injury and/or loss or damage to personal property may occur as a result of participation in this Event. Therefore, I assume all risks and liabilities related to the activities of this Event and my/my child’s participation in the Event. Should it be necessary for my child to have medical treatment while participating in the Event, I do hereby authorize a representative of NBPS to consent to any medical treatment or care deemed reasonably necessary by medical personnel, and I further agree that I will be personally responsible for any costs associated with any and all medical treatment so rendered, and I will indemnify NBPS from any and all claims made for any such treatment rendered. I understand and agree that NBPS maintains the right to use photographs of any and/or all participants for publicity and advertisement purposes without compensation to any individual so depicted. By executing this document, I agree that I have read and understand the terms herein and further agree that I have freely and voluntarily executed this agreement with full knowledge of its force and effect. I expressly agree that this agreement shall be construed and enforced in accordance with the laws of the State of California, and I consent to the jurisdiction of said State. Any dispute, claim or controversy arising out of or relating to this agreement or the breach, termination, enforcement, interpretation or validity thereof, including the determination of the scope or applicability of this agreement to arbitrate, shall be determined by arbitration in the County of Orange before a single arbitrator. The arbitration shall be administered by Judicial Arbitration and Mediation Services (“JAMS”) pursuant to its Streamlined Arbitration Rules & Procedures. The arbitrator may allocate all or part of the costs of the arbitration, including the fees of the arbitrator and the reasonable attorneys’ fees of the prevailing party.
In consideration of being allowed to participate on behalf of NBPS and related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
2. 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 full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS NBPS , their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct events (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
5. By signing this waiver, I am acknowledging that I am not experiencing any of the following symptoms: loss of taste or smell, shortness of breath, fever, cough, headaches, and have not been in close contact with someone who has COVID.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.
