Friday, January 1, 2016

Registration/Waiver Form

Registration/Waiver Form
(please print neatly)

Team Name:                                                                                                 

Personal Information
Name: _________________________________________________________________
Address: ________________________________________________________________
Phone: _________________________________________________________________
Email: _________________________________________________________________

Emergency Contact Information
Name: _________________________________________________________________
Phone # ________________________________________________________________ Relationship: ____________________________________________________________

Signature: __________________________ Date: _______________________________

Parent/Guardian: ______________________________________
(Parent/guardian must sign if player is under the age of 18)

Amateur Athletic Adult Waiver and Release of Liability
1. I acknowledge and fully understand that I will be engaging in activities that involve risk of injury, which might result not only from my own actions but the actions of others. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.

2. I assume all the foregoing risks and accept personal responsibility for the damages following any such injury. The undersigned have read the above waiver and release, and sign it voluntarily. Printed

Name: ________________________________________ Date: _____________

Signature: ___________________________________________

Parent/Guardian Signature: ______________________________
(Parent/guardian must sign if player is under the age of 18)

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