Field WaiverPrintable Form GLENDORA SOCCER LEAGUES “Adult Co-Ed 18 & Up Recreational” "Women’s 30 & Up Recreational "
Our focus is on a safe, fun, competitive soccer environment for Adult players (18 & up) of all ages and abilities to play in. Games will be Saturdays. All players must wear proper attire. Soccer Shoes & Shin Guards are required with NO EXCEPTIONS. Referees will be provided for every game, and will be very cautious of Aggressive Play. No Sliding, Slide Tackling or Charging of any player will be allowed. No Sliding, Slide Tackling or Charging of any player will be allowed.
Registration Register on line@ www.glendorasports.net
NAME:__________________________________ BIRTHDAY ______Age ___ ADDRESS: _________________________________CITY:______________ STATE_______ ZIP ________ PHONE # _____________________ E-MAIL _______________________________ EMERGENCY CONTACT: _________________________ PHONE # _____________ TEAM COORDINATOR _____________ TEAM NAME: ________JERSEY ____
Waiver Amateur Adult/Youth Athletic Waiver and Release of Liability In consideration of being allowed to participate in any way in GLENDORA SOCCER related events and activities, by agreeing to this waiver: 1. Agree that the participant should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately advise his or her coach or supervisor of such condition(s) and refuse to participate. 2. Acknowledge and fully understand that each participant will be engaging in activities 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 but the action, inaction, and negligence of others, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to use or not reasonably foreseeable at this time. 3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 4. Release, waive, discharge and covenant not to sue GLENDORA SOCCER its affiliated clubs, their respective administrators, directors, agents, and other employees of the organization, other members/participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors or premises used to conduct the event, all of which are hereinafter referred to as "releases, " from any and all liability to each of the undersigned, his or here heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death and damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise. 5. By agreeing to this waiver, you recognize that soccer is a contact sport. The league does not carry medical insurance for Adult players. We do offer a "Team Medical Plan" that may be purchased by your team. 6. I hereby understand that the Adult Soccer League (GLENDORA SOCCER), does not carry medical insurance, and I waive and release any and all rights and claims for damages against GLENDORA SOCCER, its Boards and Commissions, Officers, Employees, Referees, Agents, and The City of Glendora, The City of San Dimas for any and all injuries suffered by me at and during my activities in the program. I also acknowledge the fact that GLENDORA SOCCER, its members & The City of Glendora, The City of San Dimas is not responsible for any injuries incurred through my participation in the Adult Soccer League know as GLENDORA SOCCER. I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO THIS WAIVER ON LINE BY SUBMITTING MY REGISTRATION & WAIVER ON LINE. I Agree to this waiver of liability YOU MUST AGREE TO WAIVIER IN ORDER BE REGISTERED AND TO PARTICIPATE IN GLENDORA SOCCER . You Must Be 18 years old to play in Glendora Soccer Coed Adult League & 30 Years Old to play in the Women's 30 & up League Signed: __________________________________________ Date: ______________