Liability/Concussion Waiver

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Please note this form is for completing the Liability/Concussion Waiver only. In addition to submitting this form, please make sure to submit the registration paperwork as outlined on our website. http://oregonadultsoccer.com/player_reg_under_18.html
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Acknowledgment of Concussion Guidelines and Materials
In accordance with Senate Bill 721 (“Jenna’s Law”), new concussion training and procedural guidelines are now in effect for Oregon coaches, managers, referees, players under the age of 18 and their parents or legal guardians. For each year of participation, and prior to a player under the age of 18 participating, at least one parent or legal guardian must acknowledge receipt and review of the guidelines and materials related to concussions as described in the law. If the player is age 12 or older, the player must also acknowledge receipt and review of the guidelines and materials. Please review and acknowledge receipt of the Parent/Athlete Concussion Information Sheet and/or any other related materials by signing below. Together we can help ensure better outcomes for athletes who sustain concussions. To review the materials, click here. http://oregonadultsoccer.com/concussion_awareness.html
Player's Consent
I have received and reviewed the guidelines and materials regarding the warning signs of a concussion. I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian and that I must be removed from practice/play if a concussion is suspected. I understand that I must provide written clearance from an appropriate health care provider to my coach or team manager before returning to practice/play and I understand the possible consequences of returning to practice/play too soon and that my brain needs time to heal.
By typing your name, you acknowledge and consent.
Parent's/Guardian's Consent
I have received and reviewed the guidelines and materials regarding the warning signs of a concussion. I agree that my child must be removed from practice/play if a concussion is suspected and that it is my responsibility to seek medical treatment if a suspected concussion is reported to me. I understand that my child cannot return to practice/play until providing written clearance from an appropriate health care provider to his/her coach or team manager and I understand the possible consequences of my child returning to practice/play too soon.
By typing your name, you acknowledge and consent.
Parent’s Liability Release
In consideration of the participation of my child, who currently is not at least 18 years old, in soccer games and other programs conducted by or under the sanction of the Oregon Adult Soccer Association, Inc. (OASA) and its affiliated leagues, I hereby release and hold harmless OASA and all of its affiliated leagues, referees and sponsors, and all of their directors, officers, parent entities, affiliates, agents, employees, successors and assigns, from any and all claims, actions, losses, damages or expenses for personal or bodily injury (including death), and property loss or damage, incurred by me or my child or arising out of or in connection with my child’s participation in soccer games and other programs conducted by or under the sanction of the OASA and its affiliated leagues.
By typing your name, you acknowledge and consent.
Concussion Materials
Here's a link to the concussion information:

http://oregonadultsoccer.com/concussion_awareness.html