URBAN SOCCER LEAGUE 2008

Free Agent Registration

Name:

Signature:

Address:

Email:

Phone:

Emergency Contact:  

Men Division:

Mon/Tues 6v6 _____ Weds/Thurs 6v6 _____ Fri 8v8 _____ Sun 6v6 _____

Coed Division:

Mon/Weds 6v6 ______ Tues/Thurs 6v6 ______ Sun 7v7 ______

Women Division:

             Tues-Thurs 6v6 _______

Have you previously participated in USL?

Comments:

 

REGISTRATION REQUIREMENTS: Please mail this entry form, the completed Release and Waiver of Liability, player copy of Drivers License or picture ID, payment (check or money order $155 payable to USL).

Mail Form to: Urban Soccer League, A/R Dept., 185 Canal St. Suite 502 , New York , NY 10013

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Participant Waiver and Release:
Each team member and/or participant (hereafter referred to as "Participant") listed on the roster below or added to the roster at a later date, intending to be legally bound, hereby certifies that he/she is physically fit and in normal health and has not been otherwise informed by a physician that he/she is incapable of participation in any sport Leagues/clinics/tournaments, including those organized by UrbanSoccerLeague (hereafter referred to as "USL") Each participant agrees to abide by all USL rules. Each participant acknowledges that he/she is aware of the risks inherent in participation in sports [both practice and competition]; that sports are physical and can require considerable running, starting stopping and physical exertion, in heat and humidity, and could potentially lead to injuries including, but not limited to, overheating dehydration, limb injuries and possible permanent disability and death. USL does not carry player medical insurance, each participant agrees to assume all those risks and to waive any and all rights to claim for injuries, loss or damages arising out of his/her participation in USL. Each participant is responsible for conducting him/herself safely and at a level consistent with his/her skill. Each participant must further certifies that he/she maintains adequate health insurance to cover any injuries occurring as a result of participation in order to register in USL. By signing above, participant acknowleges understanding and reading of this waiver in full.
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OFFICE USE:
REGISTRATION FEE $____ AMOUNT PAID $____ CASH $____ CHECK#____

VERIFIED BY _______________________________________