25 Sweetser St. Berwick, ME 03901

Agreement to Participate Liability Waiver for Minors Participating in Youth Programs Agreement to Participate. All activities involve certain inherent risks. Regardless of the care taken, it is impossible to guarantee the safety of all participants. While Youth Sports Local LLC is using care in conducting the event, it is unable to eliminate all risk from the activities. I, and all named individuals above, agree to abide by the rules and regulations set by the Town of Berwick and Youth Sports Local LLC. I understand that violations of the rules and regulations, or misrepresentation of information on this form, may result in restriction, revocation, reduction or loss of program privileges without refund. Waiver and Release: I hereby waive and release Youth Sports Local LLC, its officers, agents and employees, and the Town of Berwick from and against any claims, suits, losses, or related causes of action for damages, including attorney’s fees and court costs, that may result from injury or death, accidental or otherwise, during, or arising from my child’s participation in a recreation program, including transportation to and from activities associated with the program, and any resulting illness and/or injury, and I agree to indemnify and hold harmless the Youth Sports Local LLC and the Town of Berwick from and against any and all such claims. I recognize that the recreational events or activities being entered into by my child can be dangerous to my child and I accept those dangers. I understand that if my child is injured, this waiver will be used against me and anyone else claiming damage in any legal action because of my child’s injury. I hereby acknowledge that I understand and am familiar with the nature of the activities in which my child will participate at this facility, and affirm that my child is in good health and that my child does not have a physical or emotional condition, past or present, of which I am aware, which would in any way affect my child’s ability to participate in recreation programs. I also understand that I should have health and accident insurance to cover injuries arising from participation in recreation programs. I also understand that I am responsible for immediate pick-up of my child upon completion of the program the child was registered in. In case of emergency, I give my permission for emergency medical treatment of my child and for transportation to such treatment. Photo/Video Consent: Photographs/videos may be taken during various programs. These photographs/videos may be used for future Youth Sports Local LLC promotional material. The statements above carry over and stay true to any and all functions, sessions or events participated in over the current year hosted by Youth Sports Local LLC.    I, the undersigned, have read, understand, affirm, and agree to the above statements by submitting this form.