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Medical & Liability
Release Statement – Winter I and II
2005- 2006
Please Read
Carefully.
By signing my name to the
Team Roster Form provided by Twin Ponds, I release Twin
Ponds Family Recreation Centers from any claims or responsibilities for injuries
suffered in this scheduled event. I knowingly assume all risks associated with
my participation, even if arising from negligence of others, and assume full
responsibility for my behavior. I certify that I am of at least 18 years of
age, in good physical condition and can participate in soccer. If I am under
the age of 18 year of age, I have parental/guardian consent and a
parental/guardian signature on the Twin Ponds Team Roster Form.
Further, I authorize the site director to request medical treatment as necessary
to insure my safety.
Also, by signing the Twin
Ponds Team Roster Form I take all responsibility for knowing and
abiding by the rules and regulations of Twin Ponds Family Recreation Centers.
If I do not abide by the rules of Twin Ponds Family Recreation Centers I risk
being banned from the facility.
If in agreement with
the Medical & Liability Release Statement, please sign the Twin Ponds Team
Roster form. By signing the Team Roster Form, you are in agreement with the
Twin Ponds policy.
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