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Contact Ryan Bertoni – ‭(714) 658-9360‬

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Insurance Waiver and Team Consent Form


As the coach and or legal representative of the team named below, I have given my full consent and permission for my team to participate in the Ryan Lemmon Foundation Special Event which includes youth soccer and football activities.

I understand the risks of the game(s) and the physical attributes necessary for my team to participate. To the best of my knowledge, my team has the appropriate insurance enforce which allow the players to participate. If an accident should occur, my team and or players have the appropriate insurance coverage to maintain the health and welfare of the team and its players.

I hereby waive, release and hold harmless, the Ryan Lemmon Foundation, its Directors, Officers and any additional insured certificate holders, et., al. I have been advised that the Ryan Lemmon Foundation has Excess insurance coverage and it is not to be considered primary. I have also been advised that any insurance related claims will need to be treated as secondary and that I currently have primary care health insurance for my team and its players. I understand my players are responsible for all deductibles as due for any claims which may arise.

The Officers and Directors of the Ryan Lemmon Foundation, coaches and field supervisors have my permission to provide medical care as deemed necessary in case of an accident and my players primary insurance carrier will be notified of such claim.

As the coach, I understand the risks which are inherent to the sports of soccer and football. I understand that an errant piece of equipment, ball or other un-disclosed equipment may become airborne and cause damage and or harm to my team, players, volunteers and or spectators and the injured will not deem the Ryan Lemmon Foundation liable. I further release any liability and hold harmless, the Ryan Lemmon Foundation, its Directors, Officers and any additional insured certificate holders, et., al.

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