Roselina's Pizzeria

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User Agreement

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Dietary & Medical Restriction

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Parents / Guardians Permission

YES
NO

User Agreement

RELEASE OF LIABILITY

ALTHOUGH THE SAFETY OF ALL SPORTS ACTIVITIES IS THE PRIMARY CONCERN, SOCCER ACTIVITIES WITH KICKIN’ WITH
ROSELINA’S MAY CAUSE INJURIES AND/OR DEATH. I EXPRESSLY ASSUME THE RISK OF INJURY, DEATH, AND/OR ILLNESS
ARISING FROM ANY CAUSE, AND AGREE TO WAIVE THE RIGHT TO PURSUE ANY CLAIM AGAINST KICKIN’ WITH ROSELINA’S
GAME ORGANIZER AND THE PERSONS IN CHARGE.
I
/ WE AGREE TO WAIVE ANY CLAIMS AGAINST THE ORGANIZATION FOR DAMAGES, LOSS, OR INJURY RESULTING FROM
THEIR PARTICIPATION, INCLUDING THOSE CAUSED BY NEGLIGENCE.

Parents / Guardians is agree with User Agreement

YES

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