Home of Windham Summerfest

Town of Windham, ME

 

      TEAM ROSTER

 

             Deadline: Saturday, June 21, 2008

                        Check in: ½ hour before start of Tournament

                       This roster must be completed and returned      

     the day of the tournament.

Team Name: ___________________________________________

Gender: q Girls  q Boys

Division: qU9   qU10   qU11   qU12   qU13  q U14  qHS  q Adult

Team Contact/Coach: ____________________________________

Each team may have a maximum roster of six players. Play consists of two 12 minute halves and each team is guaranteed 2 games.  Please keep this in mind when choosing the number of players you might want for your team.

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

A signed participation and release of liability form must be submitted for each player participating on your roster.  These signed forms, along with this roster, should be submitted to the registration desk one half hour prior to your first game. For ease of processing, please staple your signed participation forms directly to this form. Thanks!

 

 

 

 

 

 

 

 

 

Want to help? We need referees, volunteers for booths and registration table   q I’d love to help with ______________________. Give me a call at _____________

                                 All Proceeds Benefit Windham Youth Soccer Association

TEAM ROSTER

 

Deadline: Saturday, June 21, 2008

Check in: ½ hour before start of Tournament

This roster must be completed and returned the day of the tournament.

 

Team Name: ___________________________________________

Gender: q Girls  q Boys

Division: q U9  q U10  qU11  qU12  qU13 q U14  q HS q Adult

Team Contact/Coach: ____________________________________

Each team may have a maximum roster of six players. Play consists of two 12 minute halves and each team is guaranteed 2 games.  Please keep this in mind when choosing the number of players you might want for your team.

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

Player Name: _____________________________________________________

 

A signed participation and release of liability form must be submitted for each player participating on your roster.  These signed forms, along with this roster, should be submitted to the registration desk one half hour prior to your first game. For ease of processing, please staple your signed participation forms directly to this form. Thanks!

 

 

 

 

 

                                 All Proceeds Benefit Windham Youth Soccer Association

 

Player Participation Release of Liability

   and Waiver of Claims Agreement

 

 

 

 

 

Waiver: Signatures on this form signify that each person has read, understands and abides by this information. There are risks connected with my participation in this tournament and its related activities. I release, waive, discharge and covenant not to sue Windham Youth Soccer Association (WYSA), United States Youth Soccer Association, Windham’s Summerfest Committee, the Town of Windham, event charities and their workers, employees and directors, from all action, suits and demands whatsoever in law or in equity from demand, losses or damages on account of injury including death caused in whole or in part by the negligence of the release or otherwise.

 

Further, I hereby grant full permission for event organizers to record any or all of my participation in this event for photos, motion pictures, TV, radio, recordings, videotapes, and other media known or unknown, and to use them, no matter by who taken, in any manner for publicity, promotions, advertising, trade, or commercial purposes without any reimbursement of any kind due to me, or the need to pay me any fee.

 

Assumption of Risk:
I am aware that there are certain risks, dangers and hazards associated with engaging in physical activities that can result in serious personal injury or death.  As such, I hereby freely agree to assume and accept any and all known and unknown risks of injury associated with any participation in the 4v4 Backyard Challenge hosted by Windham Youth Soccer Association on the fields of the Windham School Department.

 

I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.

 

Parents or Guardians must sign if the participant is UNDER 18.

 

Participant Signature: ___________________________ Date: ____________

 

Parent/Guardian Signature: ________________________ Date: ____________

 

 

 

 

 

 

 

Revised March 19, 2008