ONTARIO SOCCER ASSOCIATION Participant’s Agreement (To Be Used for Players Under the Age of 18) Name of Participant: ______________________________________ Age (If under 18) _____ ALL PROGRAMS AND ACTIVITIES HAS ITS RISKS I participate in the game of soccer because it is physically and mentally challenging. In consideration of my participation in such programs, activities and events, I hereby acknowledge that I am aware of the risks and hazards associated with or related to this activity. The risks and hazards include, but are not limited to: • Injuries from executing strenuous and demanding physical techniques in soccer; • Injuries from dryland training including weights, running, and massage; • Injuries from grass, turf and other surfaces including bacterial infections and rashes; • Injuries resulting from falls to the ground due to uneven or irregular terrain or surfaces; • Injuries from collisions with walls and soccer equipment; • Iinjuries resulting from failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment; • Spinal cord injuries which may render me permanently paralyzed; • Injuries from extreme weather conditions which may result in heatstroke, sunstroke or hypothermia; • Injuries from contact, colliding or being struck by other participants, spectators, equipment or vehicles; • Injuries resulting from vigorous physical exertion and strenuous cardiovascular workouts; • Injuries from exerting and stretching various muscle groups; and • Travel to and from competitive events and associated non-competitive events which are an integral part of the organization’s activities. Furthermore, I am aware: • That injuries sustained in soccer can be severe; • That I may experience anxiety while challenging myself during the activities; • That I may come into close contact with other participants, including the possibility of accidental and unexpected contact; • That my risk of injury is reduced if I follow all rules established for participation; and • That my risk of injury increases as I become fatigued. I AGREE TO BE RESPONSIBLE FOR MYSELF I am participating voluntarily in these activities, events and programs. I agree that there are risks in soccer as described above. By participating voluntarily in these events, activities and programs, I am exposed to these risks and hazards. I agree to accept them and be responsible for any injury or other loss which I might receive while participating in these events, activities and programs. If something happens to me, I release the organizers of responsibility for any claims, demands, actions and costs which might arise out of my participation. In this Agreement I understand “organizers” to mean: The Ontario Soccer Association, District Associations, Leagues, Clubs and their directors, officers, members, employees, volunteers, officials, participants, clubs, agents, sponsors, owners/operators of facilities, and representatives. I ACKNOWLEDGE MAKING THIS AGREEMENT I have read and understood the terms and conditions of this agreement, and by signing it voluntarily, I am agreeing to abide by these terms. Printed Name of Participant (If over the age of 13) Signature of Participant (If over the age of 13 Printed Name of Parent or Guardian Signature of Parent or Guardian Date Revised January 27, 2006