Edmonton Soccer Association
12720 Victoria Trail
Edmonton, AB, T5A 5G4

General Inquiries:
780-413-4125
Bookings:
780-413-4125 Ext. 1

Fax: 780-406-4976

Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

 

**If this waiver is for use with EDSA, EMSA, EIYSA or BHE, please contact the league you are registered with for waiver signing. Electronically signed waivers will not be accepted for individuals registered with the above leagues.

Please click here for the waiver in .pdf format, which will be accepted by all leagues, or can be dropped off in person at any of the below listed facilities.

INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT

(To be executed by parents/guardians of Participants who are younger than 18 years old)

WARNING! Please read carefully! By signing this document, you will assume certain risks and responsibilities


1. This is a binding legal agreement. Clarify any questions or concerns before signing.

2. The “Organization” shall be defined as and include the Edmonton Soccer Association Facilities, Edmonton Soccer Association, the City of Edmonton, and any association/league/ casual renter organizing or sanctioning the Activities, as well as their respective directors, officers, committee members, members, employees, coaches, volunteers, officials, participants, agents, sponsors, owners/operators of the facilities in which the Activities take place, and representatives.

3.   The “Organization” shall also include the named lands and premises of the City of Edmonton listed below that are leased to and operated by the Edmonton Soccer Association and that are municipally described as:

a) 17415 106a Avenue

b) 12720 Victoria Trail

c) 6520 Roper Road

d) 14920 – 142 Street

4. Prior to participating, an individual who is younger 18 years old or older and who wants to participate in any activities, programs, classes and services (such as competitions, tournaments, practices, training, personal or strength training, dry land training, training using machines or weights, nutritional and dietary programs, orientational or instructional sessions or lessons, and aerobic and anaerobic conditioning programs (collectively the “Activities”)) that are provided by the Organization, and/or who wants to participate in any events sponsored, hosted, or organized by the Organization, must have their legal parent/guardian (“the Parties”) acknowledge and agree to the terms outlined in this agreement.

5. The undersigned acknowledges and agrees that they are a parent/guardian of the Participant and have full legal responsibility for the decisions of the Participant.


Description and Acknowledgement of Risks

6. The Parties understand and acknowledge that:

a) The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care, caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent disability, paralysis and loss of life

b) The Organization may offer or promote online programming (such as webinars, remote conferences, workshops, and online training) which have different foreseeable and unforeseeable risks than in-person programming

c) The Organization has a difficult task to ensure safety and it is not infallible. the Organization may be unaware of the Participant’s fitness or abilities, may give incomplete warnings or instructions, may misjudge weather or environmental conditions, and the equipment being used might malfunction

d) (COVID-19) The COVID-19 disease has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19; however, the Organization cannot guarantee that the Participant will not become infected with COVID-19. Further, participating in the Activities could increase the Participant’s risk of contracting COVID-19

7. The Participant is participating voluntarily in the Activities. In consideration of that participation, the Parties hereby acknowledge that they are aware of the risks, dangers and hazards and may be exposed to such risks, dangers and hazards. The Parties understand that the Organization may fail to safeguard or protect the Participant from the risks, dangers and hazards of the Activities, some of which are listed below. The risks, dangers and hazards include, but are not limited to:

a) Health: executing strenuous and demanding physical techniques; physical exertion; overexertion; stretching; dehydration; fatigue; cardiovascular workouts; rapid movements and stops; lack of fitness or conditioning; traumatic injury; sprains, dislocations and fractures; tendonitis, muscular and soft tissue damage; heart attack, stroke; head, facial, eye or dental injuries; spinal cord injuries, bacterial infections; rashes; asthma; and the transmission of communicable diseases, including viruses of all kinds, COVID-19, bacteria, parasites or other organisms or any mutation thereof

b) Premises: defective, dangerous or unsafe condition of the facilities; falls; collisions with objects, walls, equipment or persons; dangerous, unsafe, or irregular conditions on floors, the ground, or other surfaces; extreme weather conditions; and travel to and from the premises

c) Equipment: mechanical failure of the equipment; misuse, malfunction or breakdown of the equipment; negligent design or manufacture of the equipment; the provision of or the failure by the Organization to provide any warnings, directions, instructions or guidance as to the use of the equipment; failure to wear safety or protective equipment; and failure to use or operate equipment within my own ability

d) Contact: contact with balls, sticks, nets, other equipment, vehicles, or other persons; and other contact that may lead to serious bodily injury, including but not limited to concussions and/or other brain injury or serious spinal injury

e) Advice: negligent advice regarding the Activities

f) Ability: failing to act safely or within my own ability or within designated areas

g) Sport: participation in sport and its inherent risks

h) Non-Sport: the use of vending, concession and/or lounge facilities, bleachers, dressing rooms and all other amenities

i) Cyber: privacy breaches; hacking; and technology malfunction or damage

j) Conduct: my conduct and conduct of other persons including any physical altercation between participants

k) Travel: travel to and from the Activities

8. In consideration of the Organization allowing the Participant to participate in the Activities, the Parties agree:

a) That when the Participant practices or trains in their own space, the Parties are responsible for the Participant’s surroundings and the location and equipment that is selected for the Participant

b) That the Participant’s mental and physical condition is appropriate to participate in the Activities and the Parties assume all risks related to the Participant’s mental and physical condition

c) To comply with the rules and regulations for participation in the Activities

d) To comply with the rules of the facility or equipment

e) That if the Participant observes an unusual significant hazard or risk, the Participant will remove themselves from participation and bring their observations to a representative of the Organization immediately

f) The risks associated with the Activities are increased when the Participant is impaired and the Participant will not participate if impaired in any way;

g) That it is their sole responsibility to assess whether any Activities are too difficult for the Participant. By the Participant commencing an Activity, they acknowledge and accept the suitability and conditions of the Activity

h) That they are responsible for the choice of the Participant’s safety or protective equipment and the secure fitting of that equipment

i) (COVID-19) That COVID-19 is contagious in nature and the Participant may be exposed to, or infected by, COVID-19 and such exposure may result in personal injury, illness, permanent disability, or death


9. In consideration of the Organization allowing the Participant to participate, the Parties agree:

a) That the Parties are not relying on any oral or written statements made by the Organization or their agents, whether in brochure or advertisement or in individual conversations, to agree to participate in the Activities

b) That the Organization is not responsible or liable for any damage to the Participant’s vehicle, property, or equipment that may occur as a result of the Activities

c) That this Agreement is intended to be as broad and inclusive as is permitted by law of the Province of Alberta and if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect

Jurisdiction

10. The Parties agree that in the event that they file a lawsuit against the Organization, they agree to do so solely in the Province of Alberta and they further agree that the substantive law of the Province of Alberta will apply without regard to conflict of law rules.

Acknowledgement

11. The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, their spouses, guardians, next of kin, executors, administrators and legal or personal representatives.

 

The information on this form is being collected by or on the behalf of Edmonton Soccer Associations (ESA) in accordance with PIPA (Personal Information and Protection Act). The information is being collected for the purpose(s) of administering insurance claims,  risk management and legal matters.  In the event of an insurance claim, potential litigation or litigation, this information may be provided to the appropriate insurance company, Alberta Soccer Association or the league in which the individual is registered, and/or legal counsel, and other groups deemed necessary for the administration/arbitration of the claim. Should you have any questions regarding the collection of your personal information please contact Edmonton Soccer Association, This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

 

Please fill out the fields below to submit an electronically signed assumption of risk.
*We have read and agree to be bound by paragraphs 1 to 5
*We have read and agree to be bound by paragraphs 6 to 8
*We have read and agree to be bound by paragraphs 9 and 10
*The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, their spouses, guardians, next of kin, executors, administrators and legal or personal representatives.
Please note – only the parent or legal guardian may accept this assumption of risk on behalf of the child.
captcha
Reload