2020 Rockets Youth Football Program Registration

Parent/Guardian Information

Name & Phone Number
VOLUNTARY WAIVER AND RELEASE FROM LIABILITY AND INDEMNITY AGREEMENT

I, being the parent or the guardian of the above listed child, having full knowledge and understanding of the risks, including risks involved in transporting my child to various athletic centers for competition, in addition to those inherent in football, do hereby release, waive, discharge and covenant not to sue the Richland Rockets Football League, its officials, coaches, and/or the East Hills Recreation Commission and employees, and/or the Richland School District, from all liability to the undersigned his/her child, personal representative, heirs, or assigns for any loss or damage and any claim or demands therefore, on account of injuries to the person or property of my child, whether caused by the negligence of the releasees, or otherwise while my child is in competition or transportation to and from practice or competition. Further, I agree to indemnity, save and hold harmless the Richland Rockets Football League, its officials, coaches, the East Hills Recreation Commission and employees, and the Richland School District, and each of them from any loss, liability, damage or cost they may incur due to any injury to the person or property of my child. I also release and waive all rights to the use of my or my child’s likeness and/or photograph for East Hills Recreational promotional use.

I hereby expressly agree that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Commonwealth of Pennsylvania and that if any portion thereof is held valid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

I have read and voluntarily sign this release and waiver of all liability and indemnity agreement. I further understand that I am, on behalf of my child, assuming all risks inherent in the sport of football.

$ 0.00

Upon clicking the "Register Now" button below, you will be redirected to PayPal. Your registration is incomplete until the payment is processed through PayPal.