Player Membership Form

We accept and acknowledge and fully understand that each applicant/participant will be engaging in activities that involve risk of serious injury, including permanent disability or death, and severe social and economic losses which might result not only from their own actions, inactions or negligence, but action, inaction or negligence of others, the rules of play, or the condition of the premises or of any equipment used and further, that there may be other unknown risks not reasonably foreseeable at this time, assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death, hereby release, discharge, convenants to indemnify and not to sue Western Missouri Soccer League, INC, its affiliated organizations, their coaches, managers, employees and associated personnel, officers, directors, agents, including the owners and leasers of premises used to conduct the event.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participation; and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at WMSL may result from the actions, omissions, or negligence of myself and others, including, but not limited to, WMSL's employees, volunteers, and program participants and their families.      

 I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my participation at WMSL. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless WMSL, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of WMSL its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation at WMSL Complex. 

I give WMSL permission to post soccer pictures and videos of my child on WMSL website, Facebook and Instagram.

Team #
Team Name
Player's First Name
Player's Last Name
Date of Birth
MM/DD/YYYY
Gender
select
Address
City
State
ex. MO
Zipcode
Phone Number
ex: 000-000-0000
Parent First Name
Parent Last Name
Parent Email
Required Fields