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Missouri Agreement Form

Recognizing the possibility of injury or illness, and in consideration for US Youth Soccer and members of US Youth Soccer accepting my son/daughter as a player in the soccer programs and activities of US Youth Soccer and its members (the "Programs"), I consent to my son/daughter participating in the Programs. Further, I hereby release, discharge, and otherwise indemnify US Youth Soccer, its member organizations and sponsors, their employees, associated personnel, and volunteers, including the owner of fields and facilities utilized for the Programs, against any claim by or on behalf of my player son/daughter as a result of my son's/daughter's participation in the Programs and/or being transported to or from the Programs. I hereby authorize the transportation of my son/daughter to or from the Programs. My player son/daughter has received a physical examination by a licensed medical doctor and has been found physically capable of participating in the sport of soccer. I have provided written notice, which is submitted in conjunction with this release and attached hereto, setting forth any specific issue, condition, or ailment, in addition to what is specified above, that my child has or that may impact my child's participation in the Programs. I give my consent to have an athletic trainer and/or licensed medical doctor or dentist provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the reasonable cost of any such assistance and/or treatment. I/We hereby consent to any and all uses and displays by the releasees of the participants name, voice, likeness, image, appearance and biographical information in, on or in connection with any pictures, photographs, audio and video recordings, digital images, all of which are hereinafter referred to as ?depictions?, that are shown on websites, in television programs and advertising, sales and marketing brochures, books, magazines, all other printed and electronic forms and media including without limitation for the purpose of promoting Missouri Youth Soccer Association and/or its initiatives and the sport of soccer and for promotional, commercial other purposes as determined by Missouri Youth Soccer Association anywhere in the world in its sole discretion. On behalf of the participant, I/We understand that all depictions shall be the sole property of the Missouri Youth Soccer Association and neither I/We nor the participant shall receive any compensation in connection with their use. Further I/We hereby release, waive and discharge any claims of any kind or nature arising out of or relating to the use of the depictions against the Missouri Youth Soccer Association and its releasees. On behalf of the participant I /We have read the above waiver/release and understand that I/We have given up substantial rights by signing this release and sign below voluntarily. I/We understand that this document may not be altered in any manner and that any alteration without the express written consent from the Missouri Youth Soccer Association will cause the participant to be removed from the Program. (Updated 3/09/2020) By registering your participant both the player & parent/guardian understand that they are registering with an association for an entire seasonal year and should they decide to leave a competitive club then they understand that there is a transfer fee payable to the state association. Additionally, it is understood that Recreational and Youth Academy (in-house) players are free to participate in as many programs as they desire.


The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Missouri Youth Soccer Association has put in place preventative measures to reduce the spread of COVID-19; however, Missouri Youth Soccer cannot guarantee that you will not become infected with COVID-19. Further, participation could increase your risk of contracting COVID-19. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participation; and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Missouri Youth Soccer may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Missouri Youth Soccer employees, volunteers, and program participants and their families.


 
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