Helmet Liability Release


I, the undersigned, fully understand that there are risks involved in my participation on the ______________________________ football team. Furthermore, I verify that I have been warned concerning the risks of head and/or neck and spinal cord injury that may occur as a result of physical contact while wearing a football helmet during football practice or games. I have received proper instruction in the care and fitting of my football helmet and other protective equipment and understand my responsibility in the proper fitting, maintenance, and safety concerns of football equipment. I also understand that my disregard of proper technique and/or failure to comply with the rules can increase my risk of injury. If at any time I have any questions or concerns regarding the fit or safety of my football equipment, especially the helmet, I understand that it is my responsibility to bring those concerns and questions to my coach and/or equipment manager.

The undersigned does further agree to indemnify and hold harmless the __________________________ and its employees or agents from any and all claims or demands for loss, cost, injury, or damage whatsoever arising from his negligence, especially for injury resulting from improper use of the helmet such as butting, ramming, or spearing another player and failure to follow safety instructions that he has received.

Athlete signature ________________________________________________________________________

Witness _______________________________________________________________________________

Date ______________________________________