Northern Indiana Soccer League                Club_______________________ Contact________________       
Release from Liability and Agreement        
Team_______________________ Phone_________________
Not to Sue                                               
Division_____________________

WARNING: Soccer is a vigorous, physically demanding sport and any player could suffer serious injury or even death during participation in this sport. 

The Player, by his/her signature below, and the Player’s parent or legal guardian, by his/her signature below, each acknowledge, agree and certify to the following:

(1) Each certifies that all of the information set forth above is true and correct.

(2) Each acknowledges that they have voluntarily applied for membership in the Northern Indiana Soccer League (NISL), the City-County Athletic Complex, and any and all other soccer game sites for NISL, and have fully investigated its soccer program to their full satisfaction and do hereby release and discharge the NISL, CCAC, and any and all other soccer game sites of NISL, its Officers, Directors, and any persons affiliated with said club and/or the team upon which said player participates ("Released Persons") of and from any and all actions, claims, demands, or damages for any injuries, including but not limited to personal injury, death, or otherwise, whether caused by negligence of any Released Persons or otherwise (including but not limited to, the rendering of first aide treatment or any other service) while Player is on the soccer fields or any other premises used by any of the Released Persons or any of their affiliated persons and/or participating in any event or activity sponsored by or associated with any such Released Persons. In addition, each of the undersigned hereby waives and agrees not to sue any Released Person for any of the matters referred to above and to hold Released Persons harmless regarding such matters. This Release from Liability and Agreement Not to Sue is intended to be as broad and all inclusive as is permitted by the laws of the State of Indiana, and if any portion is held to be invalid, then it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Each of the undersigned warrants, states and represents that he or she has entered into this Release from Liability and Agreement Not to Sue of their own free will and that they have been given sufficient time to read carefully, and in fact, have read carefully, this Release from Liability and Agreement Not to Sue and know fully and understand the contents hereof. Each of the undersigned understands and acknowledges that they have the right and opportunity to have advice of legal counsel prior to execution of this Release form Liability and Agreement Not to Sue.

If you are in FULL agreement with all of the above, please so indicate by Signing and Dating below:

Player's Name Legal Guardian Signature Date