AMATEUR ATHLETIC MINOR WAIVER
                     AND RELEASE OF LIABILITY

IN CONSIDERATION OF BEING ALLOWED TO PARTICIPATE IN ANY WAY BY VALLEY CONFERENCE INC., TRADITIONAL EAST-WEST HIGH SCHOOL ALL-STAR PROGRAM AND RELATED EVENTS AND ACTIVITIES, THE UNDERSIGNED;

1. AGREE, THAT THE PARENT(S), AND/OR LEGAL GUARDIANS, WILL INSTRUCT THE MINOR   PARTICIPANT THAT PRIOR TO PARTICIPATING HE OR SHE SHOULD INSPECT THE FACILITIES AND EQUIPMENT TO BE USED, AND IF THE PARTICIPANT BELIEVES ANYTHING IS UNSAFE, HE OR SHE SHOULD IMMEDIATELY ADVISE HIS OR HER COACH OR SUPERVISOR OF SUCH CONDITION(S) AND REFUSE TO PARTICIPATE.

2. ACKNOWLEDGE, AND FULLY UNDERSTAND THAT EACH PARTICIPANT WILL BE ENGAGING IN ACTIVITIES THAT INVOLVE RISK OF SERIOUS INJURY, INCLUDING PERMANENT DISABILITY AND DEATH, AND SEVERE SOCIAL AND ECONOMIC LOSSES, WHICH MIGHT RESULT NOT ONLY FROM THEIR OWN ACTIONS, INACTION, OR NEGLIGENCE, BUT THE ACTIONS, INACTION, OR NEGLIGENCE OF OTHERS, THE RULES OF PLAY, OR THE CONDITIONS OF THE PREMISES OR OF ANY EQUIPMENT USED. FURTHER, THERE MAY BE OTHER RISKS NOT KNOWN TO US OR NOT REASONABLY FORSEEABLE AT THIS TIME.

3. ASSUME ALL THE FOREGOING RISK, AND ACCEPT PERSONAL RESPONSIBILITY FOR THE DAMAGES FOLLOWING SUCH INJURY, PERMANENT DISABILITY OR DEATH.

4. RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE VALLEY YOUTH CONFERENCE INC., EAST WEST GAME, ITS AFFILIATED CLUBS, THEIR RESPECTIVE ADMINISTRATORS, DIRECTORS, AGENTS, COACHES AND OTHER EMPLOYEES OR THE ORGANIZATIONS , OTHER PARTICIPANTS, SPONSORING AGENCIES, SPONSORS, ADVERTISERS AND, IF APPLICABLE, OWNERS AND LEASORS OF THE PREMISES TO CONDUCT THE EVENT, ALL OF WHICH ARE HEREINAFTER REFERRED TO AS "RELEASES", FROM ANY AND ALL LIABILITIES TO EACH OF THE UNDERSIGNED, AND HIS OR HER NEXT OF KIN FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES ON ACCOUNT OF INJURY, INCLUDING DEATH OR DAMAGE TO PROPERTY CAUSED OR ALLEDGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASES OR OTHERWISE.

5. ADDITIONALLY, I HEREBY CERTIFY THAT I, THE PARTICIPANT, HAVE BEEN CLEARED MEDICALLY IN THE PAST YEAR TO PARTICIPATE IN FOOTBALL AND/OR CHEER LEADING.
NAME _____________________________________ SIGNED ________________________________

I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT VOLUNTARILY.

___________________________________________                              ____________________
Parent or Guardian (Signature/Relationship)                                                   Date


__________________________________________                                _____________________
Participant Signature (18 year old or older)                                                      Date

Printed Name of Parent of Guardian ___________________________________________________

Printed Name of Participant __________________________________________________________

Address of Participant ______________________________________________________________

Name of Participants Own Personal Medical Insurance Co. ________________________________

Insurance Policy Number _____________________ Institution/Organization___________________

Home Telephone Number ____________________________________ 


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