LIABILITY WAIVER & IMAGE RELEASE
GENERAL RELEASE AND WAIVER OF LIABILITY
OUTSIDE THE BOX SOCCER LLC
I, _____________________________ (the “Participant”), and if such Participant is under 18 years of age, then also the parent or
legal guardian of such individual (who shall be considered a Participant in this case), sign this Release and Waiver of Liability
(this “Release and Waiver”) in consideration of participating in the services offered by Outside the Box Soccer LLC (“OTB
Soccer”), including, but not limited to camps, group and private coaching and other related services (collectively, or singularly,
the “OTB Events”).
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1. Release and Waiver of Liability Including Express Release of Claims for Released Parties Past or Future
Negligence. THE PARTICIPANT HEREBY FULLY AND FOREVER RELEASES AND DISCHARGES SAM PONTING,
OTB SOCCER, AND THE VENUE PROVIDER AND EACH OF THEIR RESPECTIVE ASSIGNEES, SUCCESSORS,
OFFICERS, DIRECTORS, AGENTS, REPRESENTATIVES, EMPLOYEES, CONTRACTORS, SUB-CONTRACTORS,
SPONSORS, SHAREHOLDERS, PARTNERS, MEMBERS, AFFILIATES, VOLUNTEERS AND ALL OWNERS OR
LESSORS OF PREMISES USED IN CONNECTION WITH THE OTB EVENTS (COLLECTIVELY, THE “RELEASED
PARTIES”) FROM ANY AND ALL PRESENT AND FUTURE LIABILITIES, DEBTS, OBLIGATIONS, COSTS,
EXPENSES, DAMAGES, LOSSES, CHARGES, JUDGMENTS, EXECUTIONS, LIENS, CLAIMS, DEMANDS, ACTIONS
OR CAUSES OF ACTION OF WHATEVER NATURE OR DESCRIPTION, IN EQUITY OR AT LAW (INCLUDING
BODILY INJURY, DISABILITY, DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY RELATING IN ANY WAY
TO THE OTB EVENTS), WHICH THE PARTICIPANT OR HIS/HER CHILD OR WARD, FAMILY, ESTATE, HEIRS,
REPRESENTATIVES, EXECUTORS, INSURERS, ADMINISTRATORS, SUCCESSORS OR ASSIGNS (COLLECTIVELY,
“RELATED PARTIES”) MAY HAVE, WHETHER KNOWN OR UNKNOWN, SUSPECTED OR UNSUSPECTED,
ASSERTED OR NOT ASSERTED, ARISING OUT OF PARTICIPATION IN THE OTB EVENTS (COLLECTIVELY
“CLAIMS”).
THIS RELEASE AND WAIVER EXPRESSLY INCLUDES A RELEASE OF “CLAIMS” OR
POTENTIAL “CLAIMS” THAT HAVE ARISEN OR MAY ARISE IN THE FUTURE IN WHOLE OR IN PART
FROM THE NEGLIGENCE OF THE RELEASED PARTIES. VOLUNTEER ACKNOWLEDGES AND AGREES
THAT THE EFFECT OF THIS RELEASE AND WAIVER IS TO WAIVE ALL “CLAIMS” AGAINST AND RELEASE
THE RELEASED PARTIES FOR THE RELEASED PARTIES’ OWN PAST AND FUTURE NEGLIGENCE, AND
FOR STRICT LIABILITY, INCLUDING, WITHOUT LIMITATION, STRICT PRODUCTS LIABILITY.
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2. Assumption of Risks. The Participant understands, acknowledges and accepts that this Release and Waiver is
intended to be binding on the Participant and the Related Parties. The Participant further understands, acknowledges and accepts
that participation in the OTB Events involves certain inherent risks and dangers that may result in accidents, property loss or
damage, bodily injury, disability, or death. These may result from Participant’s own actions or inactions, as well as the actions or
inactions of others, the rules of play, and the condition of the facilities and equipment. Further, there may be other risks not
known to Participant and not reasonably foreseeable at this time. Participant is voluntarily participating in the OTB Events,
including, but not limited to, participation in soccer games and drills, training and competition, with full knowledge of the risks
involved and accepts all risks of participation. The Participant acknowledges participation does not constitute a condition or
requirement of employment. The Participant declares that the Participant is physically fit and has the requisite skill level to
participate in the OTB Events. The Participant authorizes OTB Soccer, the on-site personnel and/or a party designated by OTB
Soccer to provide medical treatment to the Participant, should the need arise. The Participant further agrees to pay all costs
associated with such medical treatment and to defend, indemnify and hold harmless the Released Persons from any costs or
claims arising from such medical treatment. The Participant understands, acknowledges and accepts that he or she must provide
his or her own medical insurance for the Participant. Any desired life, accident, travel, property or other insurance relating to
participation in the OTB Events is solely the Participant’s responsibility. Released Persons will not provide any such insurance
for the Participant’s benefit.
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3. License. The Participant hereby grants to the Released Persons permission to film, photograph, video record and
otherwise record the Participant’s image, voice, or any other aspect of the performance at the OTB Events and the right (but not
the obligation) to use, assign, and/or license to others the Participant’s name, likeness, image, biographical information, voice,
and/or photograph, in whole or in part (the “Rights”), in any media in any manner now known or hereafter developed throughout
the world in perpetuity for any promotional, trade, publicity, or advertising purposes related to the OTB Events or similar
promotions conducted by Released Persons without further compensation or permission, except as prohibited or restricted by law.
The Participant hereby releases the Released Persons from any and all liabilities arising out of distortion, optical illusions, or
faulty mechanical reproductions of the Participant’s likeness. The Participant understands and agrees that all photographic plates,
negatives, and recordings containing the Rights are and shall be the property of Released Persons, and the Participant has no right
to inspect or approve any materials containing the Rights. The Participant represents that it is not necessary for Released Persons
to obtain permission from or to pay any third party in connection with the Rights. The Participant agrees that Released Persons
may contact the Participant for marketing purposes and send the Participant information regarding their products.
4. Indemnity Including Express Indemnity for Negligence of Released Parties. Participant agrees to defend,
indemnify and hold the Released Parties harmless from all “Claims,” actions, damages, judgments, or liabilities that may be
asserted against the Released Parties by, through or under Participant or his or her heirs and arising out of or relating to
Participant’s participation in the OTB Events. These indemnity obligations apply whether the matter is for personal injuries or
death, damage to property, economic loss, or some other requested relief, and even to the extent that any such damage or injury
may be caused, proximately or remotely, in whole or in part, by an act or omission of the Released Parties. THIS INDEMNITY
OBLIGATION EXPRESSLY INCLUDES ANY “CLAIMS” OR POTENTIAL “CLAIMS” THAT MAY HAVE ARISEN
OR MAY ARISE IN THE FUTURE, IN WHOLE OR IN PART FROM THE NEGLIGENCE OF THE RELEASED
PARTIES. FURTHERMORE, THIS INDEMNITY OBLIGATION INCLUDES “CLAIMS” OR ALLEGATIONS
AGAINST THE RELEASED PARTIES FOR PAST OR FUTURE STRICT LIABILITY, INCLUDING WITHOUT
LIMITATION, STRICT PRODUCTS LIABILITY. FINALLY, THE INDEMNITY OBLIGATIONS SET FORTH
HEREIN SHALL SURVIVE THE DEATH OF PARTICIPANT AND BECOME AN OBLIGATION OF HIS OR HER
ESTATE.
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The Participant understands, acknowledges, and accepts that this Release and Waiver is intended to be as broad and inclusive as
permitted by the laws of the state in which the OTB Events is taking place and agrees that if any portion of this Release and
Waiver is invalid, the remainder will continue in full legal force and effect. The Participant further agrees that any legal
proceedings related to this Release and Waiver shall take place in Los Angeles, California.
Date:
Participant Name:
Age: Signature:
Address:
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City:
State:
Zip:
Phone:
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IF PARTICIPANT IS UNDER 18 YEARS OLD, THIS FORM MUST BE READ AND SIGNED BY THE PARTICIPANT'S
PARENT OR LEGAL GUARDIAN:
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I represent and warrant that I am the parent or legal guardian of the above-named Participant, and I agree that the Participant may
take part in the OTB Events. On behalf of the Participant, I hereby irrevocably and unconditionally authorizes OTB Soccer, on-
site personnel, and any party designated by OTB Soccer to arrange for any necessary medical treatment for the Participant. I
ALSO, FOR MYSELF AND ON BEHALF OF MY HEIRS, ESTATE, INSURERS, SUCCESSORS, AND ASSIGNS,
HEREBY SPECIFICALLY AGREE TO THE RELEASES, ASSUMPTION OF RISKS, LICENSING, INDEMNITY,
AND OTHER TERMS AS PROVIDED ABOVE ARISING FROM OR IN CONNECTION WITH PARTICIPATION BY
MY CHILD OR WARD IN THE OTB EVENTS OR RELATED ACTIVITIES.
I acknowledge that I am not obligated to provide any biographical information about the Participant, however, choosing
to not do so below will not invalidate the scope of this Release and Waiver as it pertains to the Rights related to the
Participant and their personality rights under law. I further acknowledge and agree that the right for the Participant to
participate in the OTB Events is good and valuable consideration in exchange for this Release and Waiver and neither
myself nor the Participant will be entitled to any future compensation for use of any Content or Media subject to this
Release and Waiver.
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Date:
Parent/Guardian’s Signature
Parent/Guardian's Printed Name
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