Date -______________________________________________________________________
Method of Payment -______________________________________________________________________
Printed name of ASSA rep -_____________________________________________________________________
WOMEN’S D2 & D3
SOCCER ROSTER
This
roster is not due with the registration form.The roster must be complete and submitted prior to the first game.Additional players can be added once the
season begins, but players must read the release and sign the roster prior to
the player playing.The team captain is responsible for making
sure all players sign the waiver, and may be held liable for players not
signing.
Waiver/release: This is to certify that I assume all
risks and hazards incidental to participation in an indoor soccer league, and I
do hereby agree to hold harmless the staff of the AllStar Sports Arena,
referees and administrators from any and all claims arising out of any injury
to myself. Furthermore, this verifies that the player is up to date with
his/her immunizations and is able to participate in all soccer activities. In
the event of injury my permission is granted for treatment as required at the
nearest medical treatment facility.
Renuncia:
Esto debe certificar que asumo todos los riesgos y peligros fortuitos a la
participación en una liga de interior del fútbol, y yo acuerda por este medio
sostener inofensivo el personal de la arena de los deportes de AllStar y el
entrenamiento del fútbol de, los árbitros y los administradores de cualesquiera
y de todos demanda presentarse fuera de cualquier lesión a me. Además, esto
verifica que el jugador sea actualizado con su inmunizaciones y pueda
participar en todas las actividades del fútbol. En el acontecimiento de lesión
mi permiso se concede para el tratamiento según lo requerido en la facilidad
más cercana del tratamiento médico.
Competitive
PLAYERS
MARK
HERE
Player Name
(Nombre del Jugador)
Player/Parent
Signature
(Parent
Signature required for Players under 18)
(Firma
del Jugador)
Telephone Number
(Número de Teléfono)
A maximum of 16
players are allowed on the roster per team.
Un máximo de 16
jugadores es permitido en la lista por cada equi
