PLAYER WAIVER FORM

EARLY BIRD SPECIAL! SAVE $250 UNTIL JULY 31 2025

MUST BE FILLED OUT BY EVERY PLAYER: Make sure to register under the correct team name and division.

Player Waiver Form

Team Name

First name

Last name

Date of Birth

Phone Number

Street Address

Street Address Line 2

City

State

Zip Code

Country

Emergency Name

Emergency Contact Number

Waiver, Release & Indemnity

All Team Captains/Team Officials/Team Players must read, and sign this form by checking the box below in order to participate in the Win Big Charity SoccerFest on April 26th 2025 at the Premier Sports Campus in Lakewood Ranch, Florida. Please note that Win Big Charity Inc. will NOT share any personal information - it will be confidential. You must be 18 years of age or older to participate in the Win Big Charity SoccerFest.

I AM AWARE of the potential health and safety risk and I ASSUME FULL RESPONSIBILITY for any personal injury, damage or death while participating in the Win Big Charity SoccerFest at the Premier Sports Campus in Lakewood Ranch, Florida. Such risk may include, but are not limited to, any injury or illness resulting from use, misuse and failure of any facility or equipment on site. Other risks of playing or participating any sport may include, but are not limited to, death, serious neck or spinal injuries which may result in complete or partial paralysis or brain damage, serious injury to any bone, joint, ligament, muscle, or tendon, and serious injury or impairment to other parts of the body, general health and well-being.

I ACCEPT the responsibility of discussing my participation in this event, including use of any services, with my physician and to obtain adequate medical, health, dental, accident, and all other forms of insurance coverage which may apply. I FURTHER ACCEPT the responsibility to inform myself on the use of any facility, equipment, or service during this event, and to seek assistance when necessary.

I UNDERTAKE to inform Win Big Charity Inc. representatives of any pain, discomfort or other symptom that I may experience during my participation in this event, or use of any facility or service during this event, and to discontinue such activity or use voluntary if required by Win Big Charity Inc.

I GIVE my permission for the free use of my image in broadcast, telecast or other media account of the event/activity and for the promotional purposes of the Win Big Charity SoccerFest.

IN CONSIDERATION of my participation in this event and the use of any facility or service during this event, I RELEASE Win Big Charity Inc., its directors, officers, employees, volunteers and other representatives from any and all liability, claim, demand or action for any present or future loss, damage, injury or expense that I may suffer or that my next of kin may suffer arising from such use or participation.

I ACCEPT that this document shall be binding upon my heirs, next of kin, executors, assignees, and representatives in the event of my death or incapacity. I HAVE READ, AND I UNDERSTAND ITS CONTENT, AND I ACCEPT that by signing this document, I am waiving certain legal rights, including the right to pursue legal action, which I or my heirs, next of kin, executors, assignees, and representatives may have against Win Big Charity Inc.

I have read and agreed to the above waiver