DISCLAIMER AND INDEMNITY

(Note:  By signing this form, your own and your next of kin’s legal rights and entitlements could be affected and you should obtain your own independent legal advice before signing)

I hereby consent to play under the jurisdiction and for Legends Football Gold Coast as a registered player.

I acknowledge and accept that my registration to play in Legends Football Gold Coast is conditional upon my acceptance of the following conditions (signified by my signature appearing hereunder):

1.     Football is a body contact sport from which injury, disablement or even death may occur.  I play and train at my own risk and my executors and I hereby agree to fully indemnify Legends Football Gold Coast, its directors, management, staff, coaches, affiliates, members and clubs upon whose grounds matches or training may be played against any damages, losses or judgments they may incur as a result of my playing Football under the jurisdiction of Legends Football Gold Coast.

2.     I acknowledge that I have been made aware and am aware that Legends Football Gold Coast does not have insurance cover protecting me against loss of earnings resulting from injuries nor a capital lump sum payment for permanent disablement or death.  I declare that I have either obtained my own insurance cover to protect myself against all such eventualities, or I have elected not to insure myself and accept the risk of loss of earnings or loss of lump sum benefit for both myself, my family and my heirs and executors nominated in my Will.

3.     I declare that I believe I am in proper physical condition to play Football.

4.     I accept the code of conduct appearing hereover and agree to be disciplined by Legends Football Gold Coast should I breach the code of conduct.