Release of liability

I, [Parent/guardian full name], am the parent or legal guardian of the participant [Player full name], a minor child. I understand that participation in youth athletics programs inherently involves risk of bodily harm and that injuries may occur despite the best efforts of the sponsors. I represent that participants physically fit and has no physical condition that would materially limit his or her involvement in the program or create an unusual risk of bodily harm through participation in the program.

In consideration for the City’s agreement to allow participant’s involvement in the program, I release and forever discharge the City of Iona and District 93, along with their representatives from all actions, causes of action and claims for damages, injury or loss to person or property, including attorney’s fees and costs, that may be sustained during or as a result of participants’ participation or involvement in the program. I further consent to and agree to allow participant to receive emergency first aid treatment for injuries suffered during program activities and I agree to hold the City and its officers, agents, and employees harmless from any and all claims arising out of the delivery of such emergency first aid treatment.

This release is signed in behalf of my spouse and in behalf of such minor participant. Rules, Policies and Regulations.

I acknowledge and represent that I have read and understand the City’s rules, policies and regulations concerning the program and that on behalf of myself and participant. I understand that the goals and objectives of the City of Iona’s Sports Program are based on fun, fair-play, skill development and team work. The use of obscenities, abusive language or improper conduct can result in being asked to leave the premises. I agree to abide by such rules. I also understand that participant’s right to participate in the program may be withdrawn in the event of any material violation thereof.

3rd Grade