PARTICIPATION WAIVER
I understand and acknowledge that ____________________________________’s participation
in the athletic program and related events and activities, including tournaments and games,
offered by and in connection with PA WEST SOCCER ASSOCIATION may pose dangers
and risks of possible exposure to and illness from infectious diseases, including but not limited to
influenza and COVID-19. I understand that while particular rules and procedures may be in play
and may reduce risk, the risk of serious illness or death exists. I understand that PA WEST
SOCCER ASSOCIATION assumes no responsibility for any and all illness, disability, death or
loss of damage to person or property in connection with my participation. I hereby waive,
release, and discharge PA WEST SOCCER ASSOCIATION from any and all liabilities or
claims, financial or otherwise, made as a result of participation in the athletic program and
related events and activities.
__________________________________
Participant Name (printed)
__________________________________ __________________________________
Parent/Guardian Signature Date
__________________________________ __________________________________
Participant Signature, if age 18 or over Date
