Soccer Camp Application

On behalf of myself and my child or ward, (Applicant) and on behalf of our respective heirs, assigns and personal representative, I hereby agree not to sue and I fully and forever releaase, waive and discharge Midwest Soccer Academy, State of Missouri and the affiliates of either or both of them and all of their respective employees, officers, directors, agents and volunteers (the Releasees) from and against all liabilities, claims, damages, costs or expenses for personal injury, including death and/or property damage, which I or the Applicant, his fellow player, or any of the Releasees. I agree to imdenify the Releasees from any personal injury or property damage caused by the negilgant or intentional act of Applicant while on Midwest Soccer Academy premises or while participating in any Midwest Soccer Academy activity.

I acknowledge and agree that preperation for and participating in the camp are dangerous and involve the risk of serious injury, including death, and/or damage to property, and I hereby assume full responsibilty for any risk of such personal injury, including death, and damage to property.

I warrant that the Apllicant is in good health and has no physical condition that would prevent his/her preparation for or participation in camp.

I agree that you may photograph and/or videotape my child during camp and that you retain the rights to use these visual images in any manner you wish without compensation to my child.

This release is intended to be as broad and inclusive as permitted by law, and if any portion thereof is held invalid the balance shall continue in full legal force and effect.

I have read and fully understand the above release