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Athletic League Player Contract

  1. Manager's please indicate league name
  2. Do you live in the:*
  3. Do you work in *
  4. Players that do not live in the City of Winston - Salem must pay a $20.00 non-resident fee before he or she is an eligible player*
  5. Is Player over the age of 18 years old?*
    Players under 18 years old must provide parent/ guardian contact information
  6. Liability Waiver:

    By signing this Contract, I acknowledge and understand that the Sport designated above involves the risk of bodily injury and potentially death to myself (or to my child, if I am signing this Contract on behalf of a minor), and I hereby assume all risks involved in my participation in the Sport.  Further, I shall inspect, to my satisfaction, the playing surface and facilities prior to participating in each game, and my participation in each game shall be a waiver of any claim that the playing surface or facilities are defective or dangerous for purposes of the game.  I hereby release and hold harmless the League Sponsors and the City of Winston-Salem and its departments, officers, agents, employees, contractors, and subcontractors from any and all claims I may have related to personal injury or property damage.

    Additionally, I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself or my child including, but not limited to, personal injury, disability, death, illness, damage, loss, claim, liability, or expense, of any kind, that I or my child may experience or incur in connection with my or my child’s participation in the Sport.  On my behalf, and on behalf of my child, and our heirs, assigns, and personal representatives, I hereby release, covenant not to sue, discharge, and hold harmless the City and its officers, agents, employees, and representatives and other participants, sponsoring agencies, sponsors, advertisers, and (if applicable) the owners and lessors of the premises used, of and from the claims, including all liabilities, claims, actions, damages, costs, or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of the City and its officers, agents, employees, and representatives related to my exposure to the COVID-19 virus. I understand and agree that I or my child shall not be considered employees, agents, or representatives of the City and shall not be entitled to any employee benefits of any kind.  This waiver shall be governed by and construed in accordance with the laws of the State of North Carolina.  This waiver represents the entire understanding and agreement between the parties. This waiver cannot be amended or modified except by another written document duly signed and executed by the City and the undersigned.

  7. Photo Waiver:
    By participating in this public program, the participant (parent/guardian) acknowledges and gives permission for his/her (child/dependent) image/likeness to appear in group photos used by WSRP in promotional material (printed and/or social media).
  8. Refund Policy:
    NO refunds will be granted within two weeks of the beginning of a program. Refund requests MUST be presented in writing to the facility supervisor and pending approval of the Administration.
  9. By typing my name in the box below I am agreeing to the terms of this contract listed above*
  10. Leave This Blank:

  11. This field is not part of the form submission.