By registering your child to participate in the 9th Annual Positively Different Soccer Clinic, you represent and warrant that you are the parent or legal guardian of the registrant(s) listed below and you agree that in connection with the Soccer Clinic being held, sponsored and/or officially presented or endorsed by The Cooperative Bank of Cape Cod (the "Bank"), that you, on behalf of the specified participant(s) (the "Players"), for the benefit of the Bank and the sporting event venue as follows: Liability Waiver. Player expressly assumes any and all risks of participating in the Soccer Clinic with full understanding of all potential risks. Player maintains his or her own medical insurance sufficient in Player's determination to cover any injuries, expenses and damages that Player and his family, including loss of income, arising from Player's injury that may occur. Player expressly waives, releases and discharges the Bank and sporting event venue, and their respective employees, directors, officers, agents and advisers, from any and all claims, liabilities, causes of action, costs or expenses that Player may now have or that may arise in the future, either directly or indirectly, arising from Player’s participation in the Soccer Clinic. Each child must be accompanied by a responsible adult who remains at the venue throughout the event. On Camera/Photo Release. The Bank intends to photograph the Event and related events and activities (“Photos”) for use in connection with the Bank’s production and use of press releases, announcements, social media posts, websites and print advertising. Player knowingly and voluntarily agrees to be photographed during the Event and grants the Bank the right but not the duty to use Player’s name, likeness and/or town of residence in the Photos without any compensation to Player. Player acknowledges that the Photos are the sole and exclusive property of the Bank and the Bank will not be responsible for unauthorized duplication/use of Player’s image and/or likeness by third parties on the Internet or otherwise.Waiver and Release*I AgreeI, the parent/guardian named below, have read, understand and agree to the terms of this waiver and release presented above for each of the participants I am registering below. Signature*please type name as indication of signatureDate* Date Format: MM slash DD slash YYYY Name of Parent/Guardian signing above* First Last Contact Phone #*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Number of Children Attending*Please enter a number from 1 to 4.Child 1 Name*Child 1 Age*Please enter a number from 6 to 14.Child 2 NameChild 2 AgePlease enter a number from 6 to 14.Child 3 NameChild 3 AgePlease enter a number from 6 to 14.Child 4 NameChild 4 AgePlease enter a number from 6 to 14.CommentsThis field is for validation purposes and should be left unchanged.