Player's Full Name *
Player's Full Name
Parent's Full Name *
Parent's Full Name
City Outworks, LLC 229 E. 85th St. #1132 New York, NY 10028 WAIVER AND RELEASE OF LIABILITY In consideration of being allowed to perpetually participate in any way in City Outworks, LLC athletic programming, practices, games, activities, and any other related events the undersigned: 1) Acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses that may result not only from his/her own action, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the conditions of any premises or any equipment used. Further, there may be other risks not known to us or not reasonably foreseeable at this time. 2) Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 3) Release, waive and discharge and covenant not to sue the City Outworks, LLC, its affiliated clubs, their respective administrators, directors, agents, coaches, referees and other employees of the organization, other participants, sponsor agencies, sponsors, advertisers and, if applicable, owners and leasers of the liability to each of the undersigned, his/her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death or damage to property, caused while or in part by the negligence of the release or otherwise. THE UNDERSIGNED HAS READ THE ABOVE WAIVER AND RELEASE, UNDERSTANDS THAT SHE/HE HAS GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING AND SIGNS IT VOLUNTARILY.
By checking this box, I have read, understand and agree to the terms and conditions of City Outworks Waiver & Release of Liability. I certify that I am over the age of 18 and the player, and/or the parent or legal guardian of the player above. *