Medical Release/Waiver/Indemnity Agreement and Model Release and Authorization to Video/Photograph for Coach-Mentor Training Program Participation
Indemnification – I agree to indemnify, defend and hold harmless the U.S. Soccer Foundation from and against any and all third party claims, demands, losses, damages, liabilities, costs and expenses (including reasonable legal/attorneys’ fees and expenses arising out of or related to any legal proceeding and any legal appeal) (“Claim” or “Claims”) related to the Coach-Mentor Training program and liabilities of any kind or nature whatsoever, whether in contract, tort, or otherwise, resulting from any claim (including, without limitation, personal injury, bodily injury, sickness or disease, death, or property damage) actually or allegedly arising out of or in connection with the operation, location, or condition of the Coach-Mentor Training program, my failure to comply with any applicable state or local laws, or any person’s participation in the Coach-Mentor Training program, whether authorized or unauthorized, proper or improper.
Medical Release/Waiver/Indemnity Agreement & Model Release and Authorization to Video/Photograph – I understand that participation in the U.S. Soccer Foundation’s Coach-Mentor Training program involves certain inherent risks of injury, despite all safety precautions taken by the U.S. Soccer Foundation and local operators. Therefore, I will assume all risks, injury, sickness or illness, including communicable diseases, that may occur during participation in any activities or use of facilities associated with the Coach-Mentor Training program. In the event that I need medical treatment due to accident or injury or natural causes while participating in the Coach-Mentor Training program, I authorize local staff/operators to take whatever action is necessary to care for me. I hereby give permission for local staff and operators to use their best judgment in arranging for my emergency medical treatment. I acknowledge that I am aware of the potential risks of participation in any activities or use of facilities associated with the Coach-Mentor Training program, and in no way hold the U.S. Soccer Foundation, its respective parent, its subsidiaries or affiliates, or their respective management, agents, employees, directors, officers, sponsoring agencies, partners, volunteers or the facility or its operators, coaches, officials, or advertisers, (Individually and Collectively, the “Released Parties”), liable for any injury that I may sustain. I, FOR MYSELF, DO RELEASE, ABSOLVE, INDEMNIFY, AND HOLD THE RELEASED PARTIES HARMLESS AGAINST ANY CLAIMS OF INJURY OR DEATH IN CONNECTION WITH ANY AND ALL OF THE ACTIVITIES MENTIONED.
I also hereby grant a license to the U.S. Soccer Foundation and Released Parties, including any advertising agencies, to use and to license others to use my name, recorded voice, image, picture and/or likeness in any live or recorded audio, video or photographic display or other transmission for purposes of promotion and publicity in connection with the Coach-Mentor Training program and any future U.S Soccer Foundation events or programs and hereby waive any rights of compensation or ownership thereto. I HAVE READ, AND I UNDERSTAND, AND I VOLUNTARILY SIGN THIS MEDICAL RELEASE WAIVER/INDEMNITY AGREEMENT AND MODEL RELEASE AND AUTHORIZATION VIDEO/PHOTOGRAPH.
U.S. Soccer Foundation Background Check Policy for Coach-Mentor Training Program Participation
Employee/Volunteer Background Checks – Employee/Volunteer Background Check Requirement – I affirm that I for myself or I through my youth serving organization have/has access to a criminal history background check system to screen and clear employees and volunteers etc., and that all employees or volunteers etc. participating in the Coach-Mentor Training program must have a cleared and current background check prior to beginning work for myself or my youth serving organization.
