Mouthguard Disclaimer Policy
In signing this disclaimer, I, the parent/guardian confirm the following:
I. I am the parent/ legal guardian of the child/player listed below who is under the age of 18. If I am not the child’s/player’s parent or legal guardian, I confirm that I am aged 18 years or over and declare that I have the authority from their parent/legal guardian to sign this disclaimer on their behalf.
II. I have been advised in writing by Sportoló Life that mouth-guards should be worn by all participants in Sportoló Life activities, along with the reasons for this policy.
III. I have read and fully understood the information set out about the purpose and value of wearing a mouth-guard prior to signing this disclaimer.
IV. I acknowledge the risk of personal injury associated with the game of hockey and to which participants are exposed while taking part in Sportoló Life activities.
V. I also acknowledge that risk of injury to the mouth area of participants can be significantly reduced when a mouth-guard is worn.
VI. I wish the child/player listed below to participate in Sportoló Life activities and to do so without wearing a mouth-guard.
VII. I accept full responsibility and liability in the case of an incident where a mouth-guard could have prevented or reduced any injury sustained.
This disclaimer and any dispute or claim arising out of or in connection with it or its subject matter or formation (including non-contractual disputes or claims) shall be governed by and construed in accordance with the law of England and Wales and the courts of England and Wales shall have exclusive jurisdiction to settle any such dispute or claim.
Child / Player Name (PRINT).................................................................................................
Parent/Guardian Name (PRINT) .................................................................................
Signature of Parent/Guardian .......................................................................................
Date .....................................................................................
Sportoló Life Activity ...........................................................................................
Witnessed by (Print Name).....................................................................
Signature of Witness ........................................................................................
Position........................................................................................................................................