PLEASE ATTACHED CURRENT PHOTO
PLAYER
REGISTRATION
NAME OF PLAYER___________________________________________________________________________________
FIRST
LAST
MIDDLE
DATE OF BIRTH________________________________________
(please attach proof of birth if required).
MONTH
ADDRESS: _________________________________________________________
I voluntarily desire to play soccer for:
CLUB NAME_____________________________________________________________
PREVIOUSLY REGISTERED WITH:
I understand that signing this
form binds me to the above named team for the entire seasonal year (Both
Fall/Spring) unless an application for a transfer is applied for and granted.
SIGNATURE OF PLAYER:
________________________________________________ DATE: ____________________
SIGNATURE OF PARENT OR GUARDIAN
___________________________________ DATE: ____________________
The undersigned parent or guardian represents that
the player is in good health and can participate
in
competitive soccer and furthermore understands the rules set forth in U.S.S.F.
rule 2103, section A, B, C, D, and can be met.
I Acknowledge and
fully understand that each participant will be engaging in activies that
involve risk of serious injury, including permanent disability and death, and
severe social and economic losses which might result not only from their own
actions, inactions or negligence of others, the rules of play, or the condition
of the premises or of any equipment used, and acknowledge further, that there
may be other risks not known or not reasonably foreseeable at this time;
Assume all the foregoing risks
and accept personal responsibility for the damages following such injury,
permanent disability or death.
Release, waive, discharge and
covenant not to sue the MSYSA, its member Associations, affiliated clubs, or
teams and their respective administrators, directors, agents, coaches, and
other employees of the organization, other participants, sponsoring agencies,
sponsors, advertisers, and if applicable, owners and leasers of premises used
to conduct the event, all of which are hereinafter, referred to as
"Releases" from demands; losses or damages on account of injury,
including death or damages to property, caused or alleged to be caused in whole
or in part by the negligence of the "Releasee" or otherwise.
Signature of Parent or
Guardian_____________________________________________ Date______________________
Printed Name of Parent or
Guardian ____________________________________________________________________