MISO Waiver Form

MISO Waiver Form for Scrimmages & Try-outs MISO Waiver Form for Scrimmages & Try-outs _

In consideration of being allowed to participate in any MISO scrimmages In consideration of being allowed to participate in any MISO scrimmages _

or practices, the undersigned: or practices, the undersigned: _

 Agree that prior to participating, they will inspect the facilities and  Agree that prior to participating, they will inspect the facilities and _

equipment to be used and they believe anything is unsafe, they equipment to be used and they believe anything is unsafe, they _

will immediately advise their coach or supervisor of such will immediately advise their coach or supervisor of such

condition(s) and refuse to participate. _ condition(s) and refuse to participate.

 Acknowledge and fully understand that each participant will be _  Acknowledge and fully understand that each participant will be

engaging in activities that involve risk of serious injury, including _ engaging in activities that involve risk of serious injury, including

permanent disability and death, and severe social and economic _ permanent disability and death, and severe social and economic

losses which might result not only from their own actions, inaction _ losses which might result not only from their own actions, inaction

or negligence of others, the rules of play, or condition of the _ or negligence of others, the rules of play, or condition of the

premises or of any equipment used. Further, that there may be _ premises or of any equipment used. Further, that there may be

other risks not known to us or not reasonably foreseeable at this _ other risks not known to us or not reasonably foreseeable at this e

time. i time.

 Assume all the foregoing risks and accept personal responsibility  Assume all the foregoing risks and accept personal responsibility e

for the damages following such injury, permanent disability or for the damages following such injury, permanent disability or o

death. death.

 Release and waive, discharge and covenant not to sue MISO or n  Release and waive, discharge and covenant not to sue MISO or

l H.S.A., their respective administrators, directors, coaches, and H.S.A., their respective administrators, directors, coaches, and a

t other employees of the organization, other participants, other employees of the organization, other participants, sponsoring u

sponsoring agencies, sponsors, advertisers, and if applicable, c agencies, sponsors, advertisers, and if applicable, owners and _ owners and leasers of premises used to conduct the event, all of leasers of premises used to conduct the event, all of which are _ which are hereinafter referred to as “releases”, from demands, hereinafter referred to as “releases”, from demands, losses or _ losses or damages on account of injury, including death or damages on account of injury, including death or damage to _

damage to property, caused or alleged to be caused in whole or in property, caused or alleged to be caused in whole or in part by the _

part by the negligence of the release or otherwise. negligence of the release or otherwise. _

THE UNDERSIGNED READ THE ABOVE WAIVER AND RELEASE AND THE UNDERSIGNED READ THE ABOVE WAIVER AND RELEASE AND _

UNDERSTAND THAT HE HAS GIVEN UP SUBSTATIAL RIGHTS BY UNDERSTAND THAT HE HAS GIVEN UP SUBSTATIAL RIGHTS BY _

SIGNING IT AND SIGNS IT VOLUNTARILY. SIGNING IT AND SIGNS IT VOLUNTARILY. _

Player’s full name: ______Player’s full name: ______

Player’s signature: Player’s signature: _

______Date______Date______

Parents/Guardian Signature if under 18 (eighteen): _ Parents/Guardian Signature if under 18 (eighteen):

______Date______Date______

Print name and relationship: ______Print name and relationship: ______