Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone
*
(###)
###
####
Parent/Guardian Email
*
Camper Name
*
First Name
Last Name
Camper Age
*
4
5
6
7
8
9
10
11
12
13
14
15
16
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Waiver Agreement
*
In consideration of being allowed to participate in any way for the Historic McKinney Soccer
Group LLC dba McKinney Chupacabras FC, its related events and activities, the undersigned,
acknowledges, appreciates, and agrees that:
1) The risk of injury or illness from the activities involved in this program is significant,
including the potential for permanent paralysis and death, and while particular rules,
equipment, and personal discipline may reduce this risk, the risk of serious injury or illness
does exist; and,
2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS OF INJURY OR ILLNESS, both known and
unknown to me at the time of this agreement, EVEN IF ARISING FROM THE NEGLIGENCE OF THE
RELEASEES or others, and assume
full responsibility for my participation; and,
3) I willingly agree to comply with the stated and customary terms and conditions for participation. If,
however, I observe any unusual significant hazard during my presence or participation, 1 will bring
such to the attention of the nearest official immediately; and
4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY
RELEASE, INDEMNIFY, AND HOLD HARMLESS the Historic McKinney Soccer Group LLC dba McKinney
Chupacabras, their officers, officials, agents and/or employees, other participants sponsoring agencies,
sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event
("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to
person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE,
to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT,
FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY
INDUCEMENT.
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT TIME OF REGISTRATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent
and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs,
assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from
any and all liabilities incident to my minor child's involvement or participation in these programs
as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to
the fullest extent permitted by law.
I agree
Thank you and we are looking forward to seeing you at Craig Ranch Soccer Complex Field 9 on June 30th-July 2nd presented by Texans Credit Union and D1 Training Allen.
Each camper will receive a FREE Chupacabras t-shirt and 2 FREE tickets to our last home game on July 5th as part of our Fan Appreciation Night!